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What is ProviderTrust?

We offer an all-encompassing platform that includes healthcare license verifications, OIG exclusion checks, and comprehensive compliance and eligibility monitoring. By enhancing both primary source data and our clients' records with distinctive identifiers, we identify and confirm issues that may otherwise go unnoticed, keeping you aware of potential concerns. Our goal has consistently been to lead in healthcare monitoring, which has driven us to carefully gather, clean, and enhance primary source data until our proprietary dataset exceeds the intelligence of the original sources. Our approach combines cutting-edge automation with human expertise, allowing us to assess and interpret a wide range of primary sources across different states and sectors of healthcare for accurate match verification. Consequently, you receive only reliable match outcomes, ensuring peace of mind in your operations. As we look toward the future, the advancement of enterprise compliance and eligibility monitoring will focus on delivering immediate access to vital insights exactly when and where you need them. Our dedication to ongoing enhancement guarantees that we remain at the forefront of providing these critical services, adapting to the ever-changing healthcare landscape. In doing so, we aim to empower our clients with the tools they need to navigate compliance challenges effectively.

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

ProviderTrust

Date Founded

2010

Company Location

United States

Company Website

www.providertrust.com

Company Facts

Organization Name

DRG Claims Management

Date Founded

2009

Company Location

United States

Company Website

www.drgclaims.com/solutions/

Categories and Features

Categories and Features

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