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Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
DRG Anomaly Detection
DRG Anomaly Detection

0 review

AwareCDI
AwareCDI

0 review

Categories

Solutions

Description

Product Description:

Waystar leverages AI to automatically audit claims, build out detailed reports on the process and generate high-accuracy DRG assessments. DRG Anomaly Detection also gives you increased visibility into coding opportunities, case data and areas to target for improvement.

With Waystar’s DRG Anomaly Detection, your team can easily:

  • Track and trend revenue loss with customizable reporting, dashboards + proactive alerts
  • Employ rigorous DRG error verification
  • Implement post-bill + move to pre-bill configuration
  • Record detailed notes, reducing time spent reviewing performance down the line
  • Categorize populations + account subsets for assessment in a pre-bill or post-bill state
  • Send a ‘bill-hold’ file preventing claims with qualified DRG errors to be released for billing
About Waystar:

Waystar delivers innovative technology that simplifies and unifies healthcare payments. The company’s cloud-based platform helps healthcare providers across all care settings streamline workflows, improve financial performance and bring more transparency to the patient financial experience. Waystar solutions have been named Best in KLAS or Category Leader by KLAS Research 16 times (across multiple product categories) and earned multiple #1 rankings from Black Book. The Waystar platform is used by more than half a million providers, 1,000 health systems and hospitals, and 5,000 payers and health plans—and integrates with all major hospital information and practice management systems. On an annual basis, Waystar’s AI-powered solutions process $5B in patient payments, generate $4B in out-of-pocket estimates and process claims representing approximately 40% of the U.S. patient population. For more information, visit www.waystar.com.

Product Description:

Healthcare organizations experience mid-cycle revenue leakage for a variety of reasons — from lack of CDI resources to inefficient query processes and beyond. AwareCDI is the only solution on the market that addresses the problem every step of the way, from admission through post-billing review.

It’s all made possible by CognitiveML, the industry’s most advanced and versatile AI engine. With the AwareCDI platform, healthcare organizations can:

  • Maximize CDIS efficiency
  • Capture more revenue
  • Optimize allocation of resources
  • Increase query creation & response rates
  • Minimize denials & DNFB
About Iodine:

Iodine Software is a healthcare AI company that has pioneered a new machine learning approach — Cognitive Emulation™ — to help healthcare finance leaders build resilient organizations. Founded in 2010, Iodine’s technology unifies clinical concepts, evidence-based medicine, and deep machine learning to power revenue cycle solutions that maximize capture and data accuracy. To date, the Iodine AwareCDI™ Suite has helped nearly 500 hospitals recognize $1.5 billion in additional appropriate reimbursement annually. To learn more, visit iodinesoftware.com.

Compatibility level

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Clients

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Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:

1. Concurrent™

  • Don’t just capture documentation, capture accurate documentation
  • Compares existing narrative language against CognitiveML predictions to identify the cases with the greatest likelihood of opportunity for documentation improvement
  • Prioritizes cases in the CDS workflow, eliminating review of cases with no improvement opportunity
  • 134% Lift in Query Volume
  • 90% of hospitals saw improvement in MCC Capture

2. Interact™

  • Easily create compliant queries that become part of the permanent medical record
  • Convenient and intuitive interface for query exchange encourages collaboration and physician response
  • Optimizes physician response through EMR-integration and mobile interfaces to reduce physician burden and further amplify CDI workflow productivity
  • On average, physicians spend 60 seconds or less responding to queries
  • 94% physician response rate
  • <31 hours average time CDI waits for physician response

3. Retrospect™

  • Facilitates post-discharge, pre-bill reviews by comparing existing narrative language against CognitiveML predictions to identify the cases with the greatest likelihood of documentation and coding opportunities
  • Eases the burden on CDI and coding teams by prioritizing cases in their workflow, eliminating review of cases with no improvement opportunity
  • 95% of facilities experience increase in reimbursements
  • $48+ average additional reimbursement per discharged inpatient

4. Forecast™

  • Delivers a real-time predicted discharge DRG and GMLOS for all inpatients, based on available clinical patient information – even if no prior manual review has been performed
  • Fully automated, clinical driven predictions minimize the need for CDI to identify working DRGs
  • Machine-learning engine is based on 20m+ admissions

5. Introspect™

  • Equips CDI leaders with the right analytics so they can ensure people and processes are aligned
  • Provides deep, insightful and actionable visibility which facilitates evidence-based management across all aspects of documentation reliability
  • Detailed dashboards and metrics that drill down to the CDIS, physician, and query topic level

Pediatric use cases:

None provided

Users:
  • Baptist Health (FL)
  • Baylor Scott & White Health
  • Carolina East Health System
  • Cone
  • Hendrick Health
  • INOVA
  • INTEGRIS Health
  • Orlando Health
  • Maimonides Medical Center
  • Northern Arizona Healthcare
  • Rush University Medical Center
  • Stamford Health
  • St. Elizabeth Healthcare
  • Steward Health Care System
  • Tufts University Medical Center
  • The Queen's Medical Center
  • Unity Health
  • University Health Services 
  • University of Kansas Health System 
  • University of Michigan Health-Metro
  • Vibra Healthcare
  • West Tennessee Health System
  • White River Health System

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

None provided

Hardware Compatibility:

Desktop

Client Types

None provided

Awards

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Keywords

Images

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Videos

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Downloads

No content provided

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Alternatives

Company Details

Founded in 2000

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