Wolters Kluwer MediRegs is a comprehensive, web-based Software as a Service (SaaS) solution designed for healthcare professionals, including compliance officers, coders, reimbursement analysts, and auditors. It is built to decrease the burden of healthcare regulatory compliance, safeguard revenue, maintain audit readiness, and mitigate risk across the organization.
The platform is quick to implement, always on, and available on any device, empowering compliance professionals with on-the-spot decision support.
Key Suites & Capabilities:
- MediRegs Regulatory Center: A cost-effective solution for quick, high-level searches to stay informed of the latest federal and state regulatory updates and manual changes.
- MediRegs Compliance Suite: A robust collection of compliance and reimbursement data and tools, ideal for compliance program reviews and accreditations.
- MediRegs Master Suite: The most comprehensive resource, combining all content and advanced tools for Compliance, Revenue Integrity, Coding, Payment, and Audit Programs.
Main Features and Benefits:
The software provides immediate access to advanced, up-to-date primary source content and expert tools. It includes an extensive collection of historical content necessary for audit work in its regulatory archives.
It features intelligent analytical tools, such as the OPPS Batch Grouper and Calculator Service, which allows users to batch-calculate thousands of outpatient claims instantly, reducing hospital error rates by up to 5% and maximizing reimbursement.
Coding tools include the MS-DRG Grouper and Calculator, Code Pair Check, APC Grouper, ICD-10 Explorer, and NPI/UPIN/DEA lookup, all designed to ensure proper code assignment up front and minimize claim denials.
Users receive customized alerts (Daily, Weekly, Stored Search) to stay ahead of regulatory changes and can access a comprehensive library of resources including CFR, Federal Register, CMS Libraries, HIPAA, and State Regulations.
