Welcome to the Payment Integrity Revolution

Payment integrity is not an accuracy number. Recovery is not a new generic algorithm. Recovery and Payment Integrity are single process. They are a set of integrated tools that ties your claim audits, member calls, provider calls, configuration changes and root cause analysis – your unique operational data – into a funnel customized for you and designed to identify, recover AND fix the reasons why claims are paid incorrectly.

Our platform will triple the amount you recover and cost contain. It will cut in half the reasons claims are paid incorrectly. Your audit team will go from being the ‘bad news department’ to being the tip of the spear for administrative and cost reduction efforts.

Opportunity

Recovery and Payment Integrity Innovation

Enterprise Payment Integrity Tools

CLAIMAUDITOR

Manage Payment Integrity. Ensure best practices and audit standards while reducing costs.

CLAIMAUDITOR

Manage Payment Integrity. Ensure best practices and audit standards while reducing costs.

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CLAIMDASHBOARD

Performance Insight. Automated executive dashboards for accuracy results, error and claim trends.

CLAIMDASHBOARD

Performance Insight. Automated executive dashboards for accuracy results, error and claim trends.

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CLAIMTARGET

Manage Cost Containment. Tie audit to cost containment and target similar claims impacted by audit findings.

CLAIMTARGET

Manage Cost Containment. Tie audit to cost containment and target similar claims impacted by audit findings.

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CONFIGAUDITOR

Manage configuration audits. Ensure accurate claims system configuration changes.

CONFIGAUDITOR

Manage configuration audits. Ensure accurate claims system configuration changes.

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Datamethod

20 Years of Growth

Managing the needs of large national as well as small regional health care carriers.

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Claims Loaded
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Errors Logged
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Data Loads in 2017
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Users -- Large Customer
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Users -- Small Customer

Case Study: Auditor Effectiveness and Productivity

0%
Increase in auditor productivity.
0%
Reduction in overturned appeals.

ClaimAuditor saves you money because it
enables your team to audit more claims and
generate less rework.

Relationship

Why Choose Datamethod?

Our results demonstrate that we are the revolution in payment integrity and recovery.

We Deliver

Datamethod has helped its customers reduce audit costs by 1/3, increase auditor productivity by 50%, reduce audit process overhead by 64%, average over 300 new features a year for 10 years running, train over 8,000 people, Tens of millions recovered. We can help you achieve your goals.

We Lead

We are not waiting for someone else to prove an approach or establish an industry standard. Our webinars are attended by industry leaders. Our business model changes the way payers approach recovery. We are not waiting. We are leading.

We Listen

The largest button in all of our applications – which is on every page — is the suggest enhancement button. Seventy plus percent of the features we add to our applications come as customer requests. Listening is why we are still growing after 20 years.

We Ship

We shipped 314 features in 2016. Indeed, we have shipped over 300 features a year for the past 10 years. We are continually adding service and features to our offering. Ask us what items we plan to ship over the next two quarters.

We Innovate

Our senior level team is built around healthcare AND around target marketing data skills, rapid application development, and manufacturing inventory. Our tools represent a broad and creative set of approaches to the challenges of payment integrity and recovery.

We Service

Software by itself is a dead end. Datamethod is a world class service organization. We respond to every customer inquiry in 30 minutes or less. Our award winning service means our customers can move past challenges and focus on goals.