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What is DRG Claims Management?

It is indeed true that "not all DRG vendors are created equal." While their promotional tactics might appear alike, these vendors typically fall into two distinct groups: those that primarily serve provider hospitals and those that concentrate on identifying overpayments for health plans and payers. Similar to how lawyers often specialize in either defending or prosecuting cases, auditing vendors usually focus on the unique requirements, cultures, and interests of their particular client base. Among the vendors that prioritize payers, there exists a wide variety of strategies for DRG auditing and overpayment detection. Additionally, our service portfolio features a dedicated team of physicians who conduct clinical reviews to produce validation findings, specifically targeting situations where recognized problems arise from unsupported clinical diagnoses made by attending physicians, which surpasses the capabilities of coders. Our results consistently indicate that our coding compliance model leads to verified savings, thus enhancing financial efficiency for healthcare providers. Therefore, the choice of the right vendor can have a profound effect on the financial stability of both hospitals and payers alike, highlighting the importance of careful vendor selection in the healthcare landscape. Furthermore, this distinction among vendors underscores the necessity for stakeholders to understand their specific needs when seeking partnerships for effective revenue management.

What is Accord?

To accurately assess eligibility, it is vital to allocate resources for grasping the essential principles of the ACA, which requires evaluating various time frames. By employing a multi-source data strategy on a premier ACA platform, you can ensure that your 1094-C and 1095-C forms are both accurate and dependable. This system effectively prevents the distribution of erroneous forms to employees through rapid analysis of code combinations. Accord has created and continually improves an exceptional platform that helps employers and licensees navigate the intricacies of ACA reporting. Your dashboard offers an all-encompassing overview of current eligibility and affordability metrics related to several measurements, stability durations, and waiting periods. With our intuitive interface, generating all necessary ACA reports and filings becomes a hassle-free task without the requirement for supplementary software, as all updates are seamlessly integrated online. Thorough internal audit management practices are crucial for being ready for any inquiries from the IRS. Furthermore, with straightforward access to your historical data and dedicated support from the Accord team, audits can be performed with ease when required, ensuring adherence and tranquility. This efficient process not only simplifies ACA compliance but also allows your organization to concentrate more effectively on its primary operations, enhancing overall productivity.

Media

Media

Integrations Supported

HubSpot Customer Platform

Integrations Supported

HubSpot Customer Platform

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

DRG Claims Management

Date Founded

2009

Company Location

United States

Company Website

www.drgclaims.com/solutions/

Company Facts

Organization Name

Accord

Company Location

United States

Company Website

accord-aca.com

Categories and Features

Categories and Features

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