Compliance Risk Analyzer®

A Predictive Analytics Tool to Proactively Manage Compliance Risk and 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® (CRA) suite offers cutting-edge solutions designed to safeguard your revenue and minimize regulatory exposure.

Assess Any Provider’s Coding Risk Based on Medicare’s Utilization

VMG Health is committed to providing innovative solutions that drive superior business performance. Our Compliance Risk Analyzer® solutions are designed to deliver cost-effective, robust tools that enhance your organization’s ability to manage compliance risks and optimize revenue. 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. Contact us today to learn more about how our tools can support your compliance and revenue goals.

Tailored Compliance Risk Analyzer® Solutions

VMG Health offers two CRA 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.

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.