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Average Ratings 0 Ratings

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ease
features
design
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

NavigateHCR delivers cost-effective solutions designed to enhance operational efficiency by removing the necessity for internal resources to handle communication tasks. They offer two tailored products, EmployER Express and EmployEE Express, which facilitate the mass distribution of essential notices. Additionally, NavigateHCR oversees the deductions for employees' contributions to company-sponsored insurance premiums through their Premium Only Plan (POP). They also create a Section 125 plan, enabling employees to select which benefits they wish to have deducted from their payroll on a pre-tax basis. Furthermore, NavigateHCR equips employers with tools that foster proactive decision-making concerning employee tracking and reporting. Their service includes monthly monitoring of variable hour employee data, complemented by user-friendly dashboards and ACA Alerts based on hours worked. Lastly, NavigateHCR simplifies compliance by efficiently gathering data for responding to government inquiries and managing annual filings, including the 1094 and 1095 forms. This comprehensive approach not only streamlines communication but also ensures that employers remain compliant with regulations.

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 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 Yes 
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

NavigateHCR

Country

United States

Website

www.navigatehcr.com/products

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Product Features

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