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Pre-Payment Solution - DRG Claims Management
Our Pre-payment Auditing Solution results in at least 30% more savings to you
Greater access to medical records results in the ability to perform at least 30% more audits:
Overcoming Auditing and Recovery Obstacles
Our uniquely designed process effectively avoids provider resistance strategies
You pay the correctly coded priced DRG from the outset with no need for recovery or retrospective offset
Facts about our ‘Pre-Pay’ Program;
Compliant with claims processing timelines: One day turnaround for identification of clean vs unclean claims
One-click technology enables instant identification of claims requiring DRG validation audits, within one business day for ANY volume of claims
Reduces turnaround time by an average 50%, often in 30 days or less
Significantly reduces provider deterrents to providing medical records
Significantly reduces provider resistance to responding to audit findings
Virtually eliminates overpayments, post-payment refund requests / offsets and claim adjustments
Ensures ability to audit out-of-network claims