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
For thirty years, Verisys has been a trusted partner to some of the most intricate healthcare entities in the United States, managing the credentialing of over two million events each year. Our provider credentialing solutions ensure that you maintain compliance effectively. The credentialing and re-credentialing of healthcare providers is a challenging task for hospitals, health plans, and health systems alike. With physicians holding licenses in multiple states and offering telehealth services across state lines, it becomes necessary to verify licenses with each respective state board and adhere to the distinct regulations set forth by those states. Additionally, identity verification can be intricate, as many physicians share similar names, including maiden names, aliases, nicknames, or shortened versions of their names. To obtain a comprehensive understanding, it is essential to screen each physician thoroughly and validate credentials against a myriad of primary sources. Our expertise spans from conducting straightforward provider credential searches to deploying comprehensive end-to-end credentialing systems that streamline the entire process. By relying on us, you can simplify the complexities of credentialing and focus on providing quality care.
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)
Yes
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
Verisys
Country
United States
Website
verisys.com/solutions/provider-credentialing/
Product Features
Product Features
Credentialing
Appointment Management
No
Certification Tracking
No
Committee Management
No
Document Management
No
Expiration Management
No
License Verification
No
Online Applications
No
Privileging
No