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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

The primary motivation for SAM audits is financial gain, with vendors aiming to generate 30% of their profits from these yearly evaluations. Consequently, the frequency of audits has increased, as evidenced by a Gartner survey indicating that 66% of companies have experienced audit requests. VeraTrust offers a comprehensive visual representation of the licensing landscape along with audit reports that facilitate reconciliation, assessment, and SAM self-audits. Beyond merely conducting audits, this process helps organizations regain authority over their software assets and harness the potential to turn inefficiencies into innovative solutions. VeraTrust utilizes a blockchain-based infrastructure to accurately track software license assets between customers and vendors, effectively minimizing audit disputes and compliance challenges. This access to blockchain records not only enhances the visibility of the licensing landscape but also enables the generation of detailed audit reports for thorough evaluation and self-assessment. Ultimately, this approach serves to thwart the occurrence of unanticipated hard audits imposed by software vendors, fostering a more transparent and manageable software compliance environment. By prioritizing effective license management, businesses can also focus on leveraging their software investments to drive growth and innovation.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

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

LevelBlox

Founded

2008

Country

United States

Website

levelblox.com/veratrust/

Product Features

Product Features

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