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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.

About

Active, ongoing monitoring of your workforce is a key component of managing the risk inherent in providing healthcare today. Put the task in the hands of an expert solution, Workforce Validate, and: -Reduce the amount of time spent manually checking exclusion and sanction sites during the hiring or auditing process. -Get automatic alerts for compliance issues before they impact patients. -Keep all your site checks, workforce flags and notes in one digital profile

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

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

Audience

Healthcare Professionals, Healthcare Organizations

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

Contact HealthStream for pricing
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:

Review this Software

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

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

Company Information

HealthStream
Founded: 1990
United States
healthstream.com

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Incredable

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Categories

Categories

Integrations

No info available.

Integrations

No info available.
Claim DRG Claims Management and update features and information
Claim DRG Claims Management and update features and information
Claim HealthStream Workforce Validate and update features and information
Claim HealthStream Workforce Validate and update features and information