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What is Medisolv ENCOR?

Medisolv provides a broad array of quality management solutions specifically designed for healthcare providers, including both hospitals and clinicians. Our premier platform, ENCOR, is recognized as an award-winning, comprehensive quality solution that aims to optimize operational efficiency. As a firm focused on healthcare quality data management, Medisolv supplies organizations with robust quality management software that streamlines core measure abstraction and enables electronic measure capture in both hospital and outpatient environments. This software allows for effective data aggregation from multiple sources and guarantees smooth submission to various reporting bodies, including CMS, TJC, state agencies, payers, and accountable care organizations (ACOs). With ENCOR, healthcare facilities can access real-time eCQM performance data, which empowers them to improve their outcomes while easing compliance with regulatory requirements. Furthermore, ENCOR streamlines the chart abstraction process by supplying daily updated information and automatically pre-filling patient details, thereby assisting hospitals in meeting their reporting responsibilities with greater efficiency. Ultimately, our software is designed to guide healthcare institutions through the intricate landscape of quality reporting and to help them achieve their performance objectives more effectively. By leveraging these advanced capabilities, organizations can not only fulfill compliance standards but also drive quality improvements across their services.

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.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

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

Medisolv

Date Founded

1999

Company Location

United States

Company Website

medisolv.com

Company Facts

Organization Name

DRG Claims Management

Date Founded

2009

Company Location

United States

Company Website

www.drgclaims.com/solutions/

Categories and Features

Hospital Management

Accounting Integration
Appointment Management
Appointment Scheduling
Bed Management
Billing & Invoicing
Claims Management
In-Patient Management
Inventory Management
Medical Billing
Out-Patient Management
Patient Records Management
Physician Management
Policy Management
Revenue Management

Categories and Features

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