Medical Record Reviews Services
Accelerates and optimizes complex clinical reviews to drive faster recoveries and improve decision-making, covering DRG Validation, DRG Clinical Validation, Short Stay, Itemized Bill, Outpatient, and Professional claims.
What it does
Accelerates and optimizes complex clinical reviews to drive faster recoveries and improve decision-making, covering DRG Validation, DRG Clinical Validation, Short Stay, Itemized Bill, Outpatient, and Professional claims.
- Healthcare cost containment
- Payment integrity
- Fraud, waste, and abuse detection
- Pre-claim provider education
- Audit case management and workflow
- Medical record and chart reviews
- Provider contract and medical policy compliance
- Category
- Banking and payments
- Built for
- Healthcare and life sciences, Education
- Users
- Healthcare payers, Government agencies, Pharmacy benefit managers (PBMs)
- Public API
- Not offered
Not yet disclosed: deployment options, platforms, languages and support channels.
Pricing
Pricing isn't published
Codoxo doesn't list prices publicly. Ask them for a quote.
Security and compliance
As reported by Codoxo. Ask for audit reports before you buy.
- HIPAACompliant
- HITRUST CSFCompliant
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