#11 Claim Risk Assessment Scores
The big squeeze.
Medical staffing at claims payers and administrators is down big since the great recession.
You've heard the slogan. Do more with less.
And yet, lives and big dollars are at stake. You need a system that tells you where and when to pull all the stops, and when to hover back and let time do its thing.
Enter the ODG Risk Assessment Scoring.
Based on over three million medical claims, the Risk Assessment Score starts by asking and answering the simple question, does this project as a problem claim?
Automated claims database intelligence in real-time, fed from ODG right to your claims system. It's the closest thing to having perfect information, in a world far from it.
The next question is even more telling.
Meaning, what can you do about it?
Sizing and scaling the difference between a good and bad outcome, volatility is value.
It's yours to capture when you know where to find it.
So put your best people and vendors where needed most, and get them on early. Don't waste efforts where they're not. That's resource optimization with ODG.
Find the Risk Assessment Scores in the Comorbidity and Reserve Calculators in the toolbox dropdown of the Navigator Toolbar on the Web version of ODG.
Then get serious, and automate it through a feed from our API (Application Programming Interface) with user training and developer support from ODG.
Empower your people with premium tools to deliver optimal claim outcomes from ODG.
Contact us to schedule a consultation to ensure you're getting the most from ODG.
Top 20 Recap
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#19 UR Advisor
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#18 Comorbidity Calculator
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#17 The Procedure Summaries
Evidence-based care and UR guidance with clear recommendation and selection criteria.
#16 Medline Plus Connect
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#15 Opioid Dosing Alerts
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#13 Savings Calculator
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#12 Drug Formulary
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