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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
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
API Access
Has API
Integrations
No details available.
Integrations
No details available.
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
NavigateHCR
Country
United States
Website
www.navigatehcr.com/products