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Description

Evaluate your group's medical and prescription usage along with associated costs by comparing them to one of the nation's largest normative datasets. Utilize our cutting-edge analytics to identify potential areas of concern effectively. Eliminate the hassle of spreadsheets; with Decision Master® Warehouse's dynamic dashboards and reporting tools, you can swiftly uncover the who, why, where, what, and when, enabling you to implement targeted strategies that save costs. Assist clients in making informed decisions by experimenting with alternative plan design options in advance. Analyze the impact of changes on both your client's financial health and the healthcare expenses of their employees. Our benchmarking information is sourced from one of the most extensive normative datasets available, including insights from Truven Health Analytics and the Kaiser Family Foundation. Delve into over 60 categories, such as total health plan expenses, inpatient and outpatient claims, emergency room usage, and much more, to gain a comprehensive understanding of healthcare dynamics. This depth of analysis empowers organizations to tailor their strategies more effectively, enhancing overall health management.

Description

PwC's SMART (Systematic Monitoring and Review Technology) enhances both the efficiency and effectiveness of evaluating the quality of inpatient and outpatient coding processes while establishing a framework for quality assurance and compliance reviews. In conjunction with the support from PwC Health Information Advisory, SMART reinforces your strategy for monitoring coding accuracy and overall data quality. The SMART Inpatient module features over 1,000 established business rules designed to uncover potential coding errors and opportunities for documentation enhancement, with the option to tailor business rules to meet your specific needs. Comprehensive reporting and data analysis capabilities allow for the assessment of staff performance and the identification of educational needs in areas such as Coding, Clinical Documentation Improvement (CDI), Quality, and Providers. Additionally, the SMART Outpatient module boosts claim accuracy and highlights issues related to charge capture and workflow optimization. By mitigating the risks associated with inaccurate coding, it also fosters better regulatory compliance, ultimately benefiting the entire healthcare organization. Furthermore, the integration of these tools significantly streamlines the coding review process, ensuring higher standards of care and operational efficiency.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Zywave

Founded

1995

Country

United States

Website

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

Vendor Details

Company Name

PwC

Founded

1998

Country

United Kingdom

Website

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

Product Features

Product 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

Alternatives

Alternatives

SmartCare EHR Reviews

SmartCare EHR

Streamline Healthcare Solutions