eAudit

Prepayment and Post-Payment Analytics

Focused Results

DataMetrix eAudit is performed on high volume data to identify patterns and anomalies that can impact payment. Our proprietary technology utilizes clinically and medically developed data intelligence not available to other companies. Claims mined by DataMetrix quickly yield highly accurate results.

Our data mining team is comprised of information technology experts and licensed, certified, clinical professionals with knowledge of claims payment and medical processes. As a result we have accumulated the data intelligence to develop focused, clinically based algorithms.

Data mining is an automated, iterative process of selecting, exploring and modeling large amounts of data to identify meaningful, logical patterns and relationships. It finds errors in billing or processing that may have been hidden or previously undetected. Our Claims Analysis Secure Engine (CASE™) applies highly sophisticated algorithms to evaluate issues related to eligibility, duplicates, National Correct Coding Initiative (NCCI), Medically Unlikely Events (MUE) and others.

The proprietary technology CASE™ encompasses the accumulated medical data intelligence of our highly expert team. Its unique and inherent capabilities allow solutions to be quickly identified from within the data itself.

eAudit

Prepayment and Post-Payment Analytics

Focused Results

DataMetrix eAudit is performed on high volume data to identify patterns and anomalies that can impact payment. Our proprietary technology utilizes clinically and medically developed data intelligence not available to other companies. Claims mined by DataMetrix quickly yield highly accurate results.

Our data mining team is comprised of information technology experts and licensed, certified, clinical professionals with knowledge of claims payment and medical processes. As a result we have accumulated the data intelligence to develop focused, clinically based algorithms.

Data mining is an automated, iterative process of selecting, exploring and modeling large amounts of data to identify meaningful, logical patterns and relationships. It finds errors in billing or processing that may have been hidden or previously undetected. Our Claims Analysis Secure Engine (CASE™) applies highly sophisticated algorithms to evaluate issues related to eligibility, duplicates, National Correct Coding Initiative (NCCI), Medically Unlikely Events (MUE) and others.

The proprietary technology CASE™ encompasses the accumulated medical data intelligence of our highly expert team. Its unique and inherent capabilities allow solutions to be quickly identified from within the data itself.