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
Medisolv offers a wide range of quality management solutions tailored for healthcare providers, including hospitals and clinicians. Our flagship platform, ENCOR, stands out as an award-winning, all-encompassing quality solution designed to streamline operations. As a dedicated healthcare quality data management firm, Medisolv equips organizations with a comprehensive Quality management software that simplifies core measure abstraction and facilitates electronic measure capture across both hospital and outpatient settings. This software enables effective data aggregation from diverse sources and ensures seamless submission to various reporting entities, such as CMS, TJC, state agencies, payers, and organizations like ACOs. With ENCOR, healthcare facilities gain access to up-to-date eCQM performance data, empowering them to enhance their outcomes while simplifying compliance with regulatory programs. Additionally, ENCOR enhances the chart abstraction process by providing daily updated data and automatically pre-filling patient information, making it easier for hospitals to fulfill their reporting obligations efficiently. Ultimately, our software is crafted to support healthcare institutions in navigating the complexities of quality reporting and achieving their performance goals more effectively.
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
Medisolv
Founded
1999
Country
United States
Website
medisolv.com
Product Features
Product Features
Hospital Management
Accounting Integration
No
Appointment Management
No
Appointment Scheduling
No
Bed Management
No
Billing & Invoicing
No
Claims Management
Yes
In-Patient Management
No
Inventory Management
No
Medical Billing
No
Out-Patient Management
No
Patient Records Management
Yes
Physician Management
Yes
Policy Management
No
Revenue Management
No