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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 Healthcare Data Analytics?

A significant portion, over 70%, of healthcare information resides in clinical documents like patient charts, discharge summaries, clinician notes, and reports, which enables our advanced Natural Language Processing and AI Engine to extract crucial concepts, attributes, and contextual details that enhance business insights, refine billing processes, evaluate and categorize patient risks, compute quality metrics, and collect patient sentiment and outcome information. By leveraging previously underutilized data sources, you can greatly advance your clinical research or business intelligence initiatives. Our extensive database encompasses thousands of clinical concepts, such as genomic biomarkers, symptoms, side effects, and medications, which facilitates the identification of disease characteristics and risk factors from clinical documents, thus improving patient stratification and raising the quality of care provided. Additionally, we prioritize the anonymity of data subjects by implementing effective document de-identification techniques, ensuring their privacy while still maintaining the data's utility. This dual focus on privacy and comprehensive data empowers healthcare organizations to make well-informed decisions grounded in the most extensive information available, ultimately leading to better patient outcomes and a more efficient healthcare system.

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

Inspirata

Date Founded

2014

Company Location

United States

Company Website

www.inspirata.com/solutions/healthcare-data-analytics/

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

Population Health Management (PHM)

Analytics
Cost-of-Care Analysis
Data Storage
EMR/EHR Integration
Patient Engagement
Patient Identification
Patient Risk Stratification
Patient-Reported Outcomes
Payment Bundling
Predictive Alerts
Test & Treatment Reminders
Utilization Tracking

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