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Average Ratings 0 Ratings

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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

gainIQ Prevent is an innovative software solution designed for ongoing monitoring that detects and prevents payment inaccuracies in real-time. Acting as an internal financial safeguard, gainIQ Prevent generates precise, targeted insights that empower your personnel to spot errors and discrepancies prior to processing payments. The technical setup of gainIQ Prevent is expertly managed by Revenew; after you submit your payment and vendor files from your payment system, we take care of the integration process quickly and effortlessly. Our web-based monitoring platform effectively addresses various payment mistakes, including duplicate payments. It consistently extracts and evaluates both pending and historical payment transactions, identifies potential overpayments, and relays these findings to your team. Additionally, the system can assess procurement card and travel and expense transactions as well. To further enhance its functionality, gainIQ Prevent includes a comprehensive claim management and tracking system, ensuring that necessary corrections are executed promptly, ultimately fostering a more efficient payment process. This seamless approach not only helps in minimizing errors but also improves overall financial accuracy within your organization.

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

Revenew

Founded

1999

Country

United States

Website

www.revenew.net/gainiq-prevent.html

Product Features

Product Features

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