Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
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.
Description
GHX’s Value Analysis solutions equip healthcare organizations with data-driven insights that prioritize high-quality, cost-efficient care through effective supply selection and usage. Their services include managing product introductions, which promotes evidence-based device choices by involving physicians and standardizing value analysis methods. Through category optimization, GHX conducts a thorough analysis of device expenditures and utilization, leveraging data from electronic health records to support informed decision-making. Moreover, GHX Value Analysis reveals insights regarding physician usage and preferences, enhancing collaborative discussions with clinical teams. In addition to these offerings, GHX provides strategic sourcing consulting services that include dedicated project management and analytical assistance to help achieve financial savings objectives. By combining these services, GHX ensures that only products demonstrating enhanced clinical value receive approval, ultimately leading to improved patient outcomes. This comprehensive approach underscores GHX's commitment to fostering better healthcare through meticulous analysis and collaboration.
API Access
Has API
No
API Access
Has API
No
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
No
In Person
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Vendor Details
Company Name
DRG Claims Management
Founded
2009
Country
United States
Website
www.drgclaims.com/solutions/
Vendor Details
Company Name
GHX
Founded
2000
Country
United States
Website
www.ghx.com/value-analysis-providers/