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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 Decision Master Warehouse?

Assess your group's medical and prescription expenditures along with related costs by benchmarking against one of the largest normative datasets in the country. Leverage our advanced analytics tools to pinpoint significant areas of concern efficiently. Say goodbye to the complexities of spreadsheets; with Decision Master® Warehouse's interactive dashboards and reporting features, you can quickly find answers to the who, why, where, what, and when, facilitating the implementation of focused strategies that reduce expenses. Aid clients in making well-informed choices by testing different plan design alternatives ahead of time. Evaluate how modifications can affect both your client's financial situation and the healthcare costs incurred by their employees. Our benchmarking data is derived from one of the most comprehensive normative datasets accessible, featuring insights from Truven Health Analytics alongside the Kaiser Family Foundation. Explore over 60 categories, including total health plan costs, inpatient and outpatient claims, emergency room utilization, and beyond, to obtain a thorough understanding of healthcare dynamics. This level of analysis not only empowers organizations to refine their strategies more effectively but also enhances overall health management, ultimately contributing to better patient outcomes and financial sustainability. By continually monitoring and adjusting strategies based on these insights, organizations can remain agile in a rapidly evolving healthcare landscape.

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

Zywave

Date Founded

1995

Company Location

United States

Company Website

www.zywave.com/analytics-cloud/decision-master-warehouse/

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

Categories and Features

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