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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 OHIPay?

OHIPay is a cloud-based medical billing platform tailored for physicians and their billing teams in Ontario. It features a web-based interface and a mobile app that empowers users to create claims using health-card details, verify patient eligibility, apply fee codes, calculate relevant premiums, and receive advisory alerts regarding potential rejection codes. Users can group claims for submission through MC EDT and track their status from the draft phase to final submission, payment, or rejection. Furthermore, OHIPay supports inpatient rounding rosters, facilitates health-card scanning, and provides correction and resubmission capabilities while allowing reconciliation of Ministry remittance reports with submitted services. The platform also includes useful references for billing codes. While the software aims to assist practices in managing their Ontario physician claims effectively, the advisory warnings provided are meant solely for review and do not ensure acceptance or payment of claims. In essence, OHIPay not only simplifies the billing process but also significantly boosts operational efficiency for healthcare providers in Ontario, making it an invaluable tool for medical practices.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

$20/physician/month
$0 for the first 6 months, then $20/month plus HST per physician from month 7. Billing staff and the phone app are included. No setup fee or contract; month-to-month, cancel any time.
Free Trial Offered?

Supported Platforms

SaaS

Supported Platforms

SaaS
Android
iPhone

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub
Online Training
On-Site Training

Training Options

Documentation Hub
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

Medinote Technologies Inc.

Date Founded

2026

Company Location

Canada

Company Website

ohipay.ca

Categories and Features

Claims Processing

Not specified

Categories and Features

Medical Billing

Not specified

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