MediRegs, by Wolters Kluwer, is a comprehensive suite of regulatory information and expert tools designed for healthcare professionals, including compliance officers, coders, reimbursement analysts, and risk teams. It aims to decrease the burden of healthcare regulatory compliance by providing advanced primary source content and expert tools, updated in real time, to ensure the integrity of compliance programs, revenue, and audit documentation.
Key Suites & Capabilities: MediRegs is available in three primary levels tailored to different organizational needs:
- MediRegs Regulatory Center: A cost-effective way to stay informed of the latest federal and state regulatory updates and manual changes, allowing for quick, high-level searches.
- MediRegs Compliance Suite: A robust collection of compliance and reimbursement data, ideal for compliance program reviews, accreditations, and targeted searches.
- 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 platform is a web-based solution that is quick to implement and available on any device, empowering compliance professionals with on-the-spot decision support. It provides tools and calculators like the MS-DRG Grouper, Code Pair Check, and APC Grouper to reduce hospital error rates and prevent claims denials. Users can access an extensive collection of historical content for audit work and receive customized alerts (Daily, Weekly, Stored Search) to stay ahead of regulatory changes. It also includes features for audit management, policy management, risk assessment, and workflow automation.
Target Users: Compliance Officers, Reimbursement Analysts, Coders, Auditors, HIM Professionals, Fraud and Denials Management Staff, and other healthcare professionals in hospitals, health systems, and post-acute care providers.