A Message from Gary Twigg, President and CEO of DataMetrix

Over the last decade, DataMetrix developed CASE™ to support and manage an expanding suite of auditing capabilities used to identify claim overpayments for our customers. DataMetrix, is excited to announce a new release of CASE™ on September 1, 2015. CASE™ formally available only through the purchase of DataMetrix services, can now also be licensed. Companies can now deploy the CASE™ technology in-house to effectively manage both internal and contracted vendor payment integrity functions. DataMetrix guarantees CASE™ will improve your companys pre-adjudication accuracy and post payment recovery results.

CASE™ is comprised of an analyzer module, production management module, and a search and reporting module. CASE™ easily integrates with other systems and applications to provide:

  •  Overall flexibility to process payment reviews according to client's needs
  •  Automated secure file retrieval and return
  •  Accurate integrated MS-DRG, APR-DRG, APC, IRF, and ASC pricers
  •  Detailed customizable output reporting from all data fields
  •  Fast processing leading edge software
  •  Comprehensive continuously updated CMS generated provider file

We believe ideal users are organizations that:

  •  Manage multiple internal and vendor payment integrity processes
  •  Screen and route claims to the appropriate departments or vendors
  •  Seek to reduce payments to outside vendors
  •  Desire a mechanism for quickly responding to dynamic program needs while minimizing dependency on IT resources
  •  Require timely integration of the results from all internal and external programs
  •  Measure both internal and external program ROIs
  •  Require deployment and customization of rule sets in addition to the library rule sets that are made available through CASE™

The changing healthcare environment is impacting everyone involved. Payment reform increases the importance of operating efficiently. If you would like to discuss how CASE™ will benefit your company, please contact us at 866.977.1001.

A Message from Gary Twigg, President and CEO of DataMetrix

Over the last decade, DataMetrix developed CASE™ to support and manage an expanding suite of auditing capabilities used to identify claim overpayments for our customers. DataMetrix, is excited to announce a new release of CASE™ on September 1, 2015. CASE™ formally available only through the purchase of DataMetrix services, can now also be licensed. Companies can now deploy the CASE™ technology in-house to effectively manage both internal and contracted vendor payment integrity functions. DataMetrix guarantees CASE™ will improve your companys pre-adjudication accuracy and post payment recovery results.

CASE™ is comprised of an analyzer module, production management module, and a search and reporting module. CASE™ easily integrates with other systems and applications to provide:

  •  Overall flexibility to process payment reviews according to client's needs
  •  Automated secure file retrieval and return
  •  Accurate integrated MS-DRG, APR-DRG, APC, IRF, and ASC pricers
  •  Detailed customizable output reporting from all data fields
  •  Fast processing leading edge software
  •  Comprehensive continuously updated CMS generated provider file

We believe ideal users are organizations that:

  •  Manage multiple internal and vendor payment integrity processes
  •  Screen and route claims to the appropriate departments or vendors
  •  Seek to reduce payments to outside vendors
  •  Desire a mechanism for quickly responding to dynamic program needs while minimizing dependency on IT resources
  •  Require timely integration of the results from all internal and external programs
  •  Measure both internal and external program ROIs
  •  Require deployment and customization of rule sets in addition to the library rule sets that are made available through CASE™

The changing healthcare environment is impacting everyone involved. Payment reform increases the importance of operating efficiently. If you would like to discuss how CASE™ will benefit your company, please contact us at 866.977.1001.