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About

Circle Health is a behavioral health AI platform built for addiction treatment and behavioral health facilities, with digital assistants that automate clinical documentation, utilization review, compliance, and claims preparation across the intake-to-discharge lifecycle. Its Charting Assistant captures encounters through ambient listening, dictation, typing, or uploaded files, generates notes in formats such as SOAP, DAP, BIRP, and clinic-specific templates, suggests ICD codes, validates medical necessity in real time, and prompts for prior-authorization requirements. Circle Health reviews charts, prepares complete authorization packets, tracks clinical and payer criteria, supports live payer calls, and manages eFax submissions for initial and concurrent treatment authorizations. Circle Health continuously checks documentation against payer, regulatory, and accreditation standards, and provides real-time compliance scores.

About

It’s fair to say that “not all DRG vendors are created equal.” Despite overlapping marketing efforts, there are two general categories of DRG auditing products: those that primarily serve provider hospitals and those that are designed to identify overpayments on behalf of health plans and payers. Just as an attorney typically specializes in defense or plaintiff representation, auditing vendors specialize in the unique needs, cultures and priorities of the parties they respectively serve. Even within the category of payer-based vendors, there is also a wide range of approaches to DRG auditing and overpayment identification. We extend our scope of services to our physician review team to produce clinical validation findings for situations where the identified issues are unsubstantiated clinical diagnoses documented by treating physicians and therefore exceeds the scope of coders. Our results prove that our coding compliance model will produce verified savings.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Behavioral health and addiction treatment teams seeking to automate clinical documentation, utilization review, compliance, authorization, and claims workflows

Audience

Companies interested in a claims management solution to identify claims with the highest potential for recovery results

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

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Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

Circle Health
Founded: 2024
United States
www.circlehealth.co

Company Information

DRG Claims Management
Founded: 2009
United States
www.drgclaims.com/solutions/

Alternatives

Alternatives

Alaffia

Alaffia

Alaffia Health
SmartCare

SmartCare

Select Data
Ember

Ember

MetiStream

Categories

Categories

Integrations

Google Drive
Kipu
Lightning Step
Microsoft OneDrive
Netsmart Homecare
Opus
Salesforce
Sunwave

Integrations

Google Drive
Kipu
Lightning Step
Microsoft OneDrive
Netsmart Homecare
Opus
Salesforce
Sunwave
Claim Circle Health and update features and information
Claim Circle Health and update features and information
Claim DRG Claims Management and update features and information
Claim DRG Claims Management and update features and information