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Instant Provider Risk Assessment
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Compliance Risk Analyzer®
A Predictive Analytics Tool to Proactively Manage Compliance Risk & Maximize Revenue Integrity
In today’s complex healthcare environment, staying ahead of compliance risks and ensuring accurate reimbursement is essential for every healthcare organization. VMG Health’s Compliance Risk Analyzer® suite offers cutting-edge solutions designed to deliver cost-effective, robust tools that enhance your organization’s ability to manage compliance risks and optimize revenue.
Assess Any Provider’s Audit Risk Based on Medicare Utilization
By combining our extensive healthcare industry expertise with the latest technological advancements, we help you navigate the complexities of compliance with confidence. Protect your organization from audit risks, capture every dollar of revenue owed, and ensure compliance with VMG Health’s Compliance Risk Analyzer® suite.
Near-Time Analytics
Compliance Risk Analyzer® refines its predictive capabilities through specialty-specific cohort data that goes beyond just benchmarking against Medicare data.
Return on Investment
Our audit program management application increases efficiency by significantly reducing the time it typically takes to perform many of the basic audit planning and execution functions.
Leverage predictive analytics to provide actionable insights into audit risk, underpayment opportunities, and documentation compliance.
- Identify Undercoding Opportunities
Make your money back with powerful automation that helps you prioritize claims faster and uncover undercoding for potential savings. Per 1,000 providers, we estimate $700k+ in undercoding identified annually.
- Unrivaled Service Offering
Streamline risk mitigation and create an action plan for your team, with the option of fully outsourcing your audit department.
- Ease of Use
Experience remarkably easy implementation and a user-friendly interface that allows staff to quickly train and grow comfortable using it.
Tailored Compliance Risk Analyzer® Solutions
VMG Health offers two Compliance Risk Analyzer® tools to meet your professional and inpatient coding compliance needs. Our CPT® tool is designed to assess compliance risks associated with Current Procedural Terminology (CPT®) coding, ensuring accuracy and adherence to standards. The DRG tool specializes in managing compliance risks related to Diagnosis-Related Group (DRG) coding, providing a targeted approach for inpatient settings. Each solution offers a specialized solution to enhance your organization’s compliance and efficiency.
Current Procedural Terminology (CPT) © 2025 American Medical Association. All rights reserved.
- Compliance Risk Analyzer®: CPT
Through advanced predictive analytics, Compliance Risk Analyzer®: CPT® identifies potential audit triggers with CPT® coding, so your organization can avoid costly penalties. The embedded audit tool tracks documentation in real time, ensuring your coding practices are aligned with the latest regulatory standards. Additionally, it offers comprehensive analytics to uncover underpayment opportunities, ensuring your organization captures all deserved revenue.
- Compliance Risk Analyzer®: DRG
Compliance Risk Analyzer®: DRG’s rules-based predictive analytics identify areas at high risk for audit, allowing you to proactively address issues before they escalate. The integrated audit tool facilitates seamless documentation tracking, providing real-time insights and helping your organization maintain compliance with DRG coding requirements. Furthermore, the tool’s trend reporting empowers your organization to monitor education and remediation efforts to maintain a high degree of compliance.
By the Numbers
Enhance compliance and mitigate risk with Compliance Risk Analyzer®.
90%
Client Retention Rate
140,000
Providers Analyzed
84
Specialties Served
How Does Compliance Risk Analyzer® Work?
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Take control of your compliance journey and maximize your revenue integrity.
Book a demo to learn more about how our tool can support your compliance and revenue goals.
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