Compare Accord vs. DRG Claims Management

Ensuring that you meet the various eligibility periods necessitates dedicated attention to the fundamentals of the ACA. By utilizing a top-tier ACA platform that integrates data from multiple sources, you can guarantee the accuracy of your 1094-C and 1095-C forms. This system proactively prevents the issuance of incorrect forms to employees by swiftly analyzing code combinations. Accord has developed and continually updates a premier platform designed for employers and licensees to navigate the intricacies of ACA reporting with ease. Your personalized dashboard provides real-time insights into ongoing eligibility and affordability metrics, encompassing a range of measurements, stability assessments, and waiting periods. You can effortlessly generate all required ACA reporting and filings through our user-friendly interface, with no software installation necessary and seamless online upgrades. To effectively respond to IRS inquiries, maintaining meticulous internal audit processes is crucial. With straightforward access to historical records and support from your Accord team, any necessary audits can be conducted promptly and efficiently. Additionally, this approach not only simplifies compliance but also enhances your overall ACA management strategy.

It is accurate to assert that "not all DRG vendors are equal." Although their marketing strategies may be similar, these vendors generally fall into two categories: those that cater primarily to provider hospitals and those focused on detecting overpayments for health plans and payers. Much like how attorneys often concentrate on either defense or plaintiff cases, auditing vendors tend to specialize in the distinct needs, cultures, and priorities of their respective clients. Within the realm of payer-focused vendors, a diverse array of strategies for DRG auditing and overpayment detection exists. Our service offerings also include a dedicated physician review team that generates clinical validation findings, specifically addressing cases where identified issues stem from unsubstantiated clinical diagnoses made by treating physicians, which goes beyond the capabilities of coders. Our findings consistently demonstrate that our coding compliance model yields verified savings, contributing to enhanced financial efficiency for healthcare providers. Thus, selecting the right vendor can significantly impact the financial health of both hospitals and payers alike.