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features
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support

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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

The cloud-based Compliance Management System, HIPAA ComplyPAK™, has proven effective for clients in navigating audits successfully. It offers comprehensive guidance tailored to each role that deals with Protected Health Information (PHI), ensuring that all functions operate in accordance with HIPAA regulations. The system addresses essential requirements related to Privacy, Security, and Group Health Plans, while also facilitating the continuous monitoring of compliance status through auditing. Furthermore, it empowers Privacy Officers to oversee the compliance activities of staff members actively. Users can generate compliance status reports as needed and have straightforward access to specific policies and procedures pertinent to their roles for quick reference and action. Additionally, it helps identify potential risks of noncompliance and provides tools for effective risk management and mitigation. The implementation of Healthcare Modules, which come with pre-established policies and procedures, is also supported by the system. HIPAA ComplyPAK™ enables the tracking of Protected Health Information to meet the legal obligations set forth by HIPAA and HITECH. The platform also offers convenient, on-demand online training for staff, complete with certification options to ensure that employees are well-versed in compliance practices. This holistic approach not only streamlines compliance efforts but also reinforces a culture of accountability and knowledge among staff members.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

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 No 
Live Training (Online) No 
In Person Yes 

Vendor Details

Company Name

DRG Claims Management

Founded

2009

Country

United States

Website

www.drgclaims.com/solutions/

Vendor Details

Company Name

HIPAA Solutions

Founded

2009

Country

United States

Website

www.hipaasolutions.org/features.html

Product Features

Product Features

HIPAA Compliance

Access Control / Permissions No 
Audit Management No 
Compliance Reporting No 
Data Security No 
Documentation Management No 
For Healthcare No 
Incident Management No 
Policy Training No 
Remediation Management No 
Risk Management No 
Vendor Management No 

Alternatives

Alternatives

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