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
Healthicity enables healthcare organizations to manage compliance and auditing programs with greater accuracy, efficiency, and confidence. Its intuitive online solutions bring together policy management, training delivery, incident tracking, document storage, and audit workflows under one unified platform. Compliance Manager helps teams customize workspaces, distribute education, conduct investigations, and monitor performance with real-time reporting. Auditing tools allow users to complete audits electronically, maintain documentation, and generate detailed reporting without manual spreadsheets. Customers value Healthicity’s supportive team, ease of navigation, and ability to consolidate previously fragmented tools into one coherent system. The platform improves oversight across multi-location healthcare environments, helping organizations maintain consistent standards. With enhanced visibility, automated workflows, and structured reporting, Healthicity reduces risk while saving significant time. The result is a modern compliance ecosystem that strengthens organizational accountability and supports better patient care.
API Access
Has API
API Access
Has API
Integrations
Compliance Manager by Healthicity
Healthicity Audit Manager
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
DRG Claims Management
Founded
2009
Country
United States
Website
www.drgclaims.com/solutions/
Vendor Details
Company Name
Healthicity
Founded
2015
Country
United States
Website
www.healthicity.com
Product Features
Product Features
Audit
Alerts / Notifications
Audit Planning
Compliance Management
Dashboard
Exceptions Management
Forms Management
Issue Management
Mobile Access
Multi-Year Planning
Risk Assessment
Workflow Management
HIPAA Compliance
Access Control / Permissions
Audit Management
Compliance Reporting
Data Security
Documentation Management
For Healthcare
Incident Management
Policy Training
Remediation Management
Risk Management
Vendor Management
Medical Billing
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice