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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

Metabridge is an innovative platform that transforms the auditing of 340B programs through a rule-based engine that streamlines and automates the entire auditing process. By ensuring that 100% of 340B claims are audited, Metabridge effectively eliminates the potential for audit discrepancies, enabling you to complete audits of 340B prescriptions in mere minutes. Why Opt for Metabridge? We provide agile and forward-thinking solutions that demystify the complexities associated with managing the 340B program while maximizing federal pricing advantages. Highlights of the 340B Compliance Manager: Dashboard This feature serves as a unified source of truth for all involved parties, offering real-time data that facilitates informed decision-making. Claims Repository Efficiently handle and archive all claims within a single, secure platform, with flexible options for either on-premise or cloud-based data storage. Auditor Module Revamp your auditing process by cutting down the time spent on sample size audits from hours to just minutes, while also optimizing savings through our Manufacturer Exclusion module. Furthermore, this module enhances overall operational efficiency, allowing healthcare providers to focus more on patient care.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

No images available

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

$1000/user/month
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 No 
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 No 

Vendor Details

Company Name

DRG Claims Management

Founded

2009

Country

United States

Website

www.drgclaims.com/solutions/

Vendor Details

Company Name

TheHistroke

Founded

2022

Country

United States

Website

thehistroke.com

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Product Features

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