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.
20 Years of Growth
Managing the needs of large national as well as small regional health care carriers.
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 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.
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 shipped 314 features in 2017. 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.
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.
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.