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What is PwC SMART?

PwC's Systematic Monitoring and Review Technology (SMART) significantly improves the efficiency and effectiveness of assessing the quality of both inpatient and outpatient coding processes while creating a robust framework for quality assurance and compliance evaluations. Supported by PwC Health Information Advisory, SMART strengthens your approach to monitoring coding accuracy and enhancing overall data quality. The inpatient module of SMART includes more than 1,000 predefined business rules aimed at identifying possible coding mistakes and opportunities for improving documentation, with flexibility to customize rules according to specific organizational needs. Its extensive reporting and data analysis features facilitate the evaluation of staff performance and highlight areas that require educational focus, such as Coding, Clinical Documentation Improvement (CDI), Quality, and Providers. Moreover, the outpatient module enhances claim accuracy and brings attention to issues concerning charge capture and the optimization of workflow processes. By addressing the risks associated with inaccurate coding, the system also promotes better regulatory compliance, ultimately leading to advantages for the entire healthcare organization. Furthermore, the combination of these modules effectively simplifies the coding review process, thereby ensuring elevated standards of care and improved operational efficiency, which can significantly impact the overall success of healthcare delivery. In this way, organizations can not only enhance their coding practices but also contribute to a higher quality of patient care.

What is Brellium?

Brellium is a cutting-edge AI-driven clinical compliance platform that performs audits on clinical documentation, billing, and payor risk associated with each patient visit. Its standout features include real-time chart reviews that utilize machine learning to meticulously evaluate every note, session, and encounter, ensuring compliance with coding standards (MDM/E/M/ICD-10), clinical quality benchmarks, payor regulations, and documentation integrity, resulting in audits that are completed up to 13 times faster and reducing chart-review costs by almost 98%. The platform effortlessly integrates with any electronic medical record (EMR) system, supports both custom and standard audit criteria, and automatically sends feedback emails to providers, while also providing trend-data dashboards that rank clinicians based on the quality of their documentation. Furthermore, Brellium offers a unique clawback-protection guarantee: should a payor withdraw reimbursement for a chart that Brellium has approved, the company will assume the associated expenses. Tailored for various specialties, including behavioral health, applied behavior analysis (ABA), home health care, chronic-care management, and telehealth services, Brellium not only enhances compliance but also promotes efficiency in clinical practice. Its innovative approach and protective guarantees position Brellium as an essential asset for healthcare providers aiming to optimize their operations and maintain high standards of care.

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

PwC

Date Founded

1998

Company Location

United Kingdom

Company Website

www.pwc.com/us/en/products/smart.html

Company Facts

Organization Name

Brellium

Date Founded

2021

Company Location

United States

Company Website

brellium.com

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

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