The inherent complexities of the RAC audit process create an advantage for the RAC Auditors, and a disadvantage for healthcare providers.  In order to minimize the recoupment of legitimate Medicare revenues, healthcare providers need to take control of the RAC process.  This can be accomplished with a system that helps providers ensure accountability throughout their organizations and proactively manage their claims audits to ensure that critical deadlines are not missed.

The Compliance 360 Claims Auditor is proven to help healthcare providers automate the management of each step in the RAC Audit process.  The system, rather than your RAC Coordinator, can police the critical dates and responsibilities for each step in the audit and appeal of each claim.  This allows your RAC Coordinator to concentrate on high-risk areas and maintain control of the overall RAC response.

Join us for a free demonstration and see how the Compliance 360 Claims Auditor can help you:

• Establish your “Claims Audit System of Record” using the Compliance 360 Claims Auditor as your central location for managing all claims audits and storing all related information.

• Manage the entire claims audit process across all departments and create organizational accountability. With highly configurable workflow and specific workflow templates for RAC audits, your compliance personnel can efficiently automate processes, activities, and due-date alerts across all your departments.

• Make well-informed decisions throughout complex claims audit and appeals processes and proceed with appeals only when the outcome is likely to be successful.

• Minimize the recoupment of your legitimate revenues by managing the appeals windows to ensure that critical deadlines are not missed.

• Provide executive visibility with real-time dashboards. Your executives and other key decision makers can closely monitor the status of pending appeals and the financial exposure of active medical claims audits.

• Proactively establish barriers to auditors by demonstrating an “in control” status with efficient self assessments and internal defense audits.

• Incorporate claims audit management into your broader compliance and risk management programs using the comprehensive Compliance 360 GRC platform.  This is important for hospitals seeking to address the increasing governance and risk management needs of their boards of directors in today’s climate of increasing demands for regulatory oversight.

Who Should Attend:

PLEASE NOTE:

Product demonstrations are available for healthcare providers only.  If you are not a healthcare provider but would like to learn more, please contact us.  When registering for this demonstration, please use your company e-mail address.  Personal addresses such as AOL, Hotmail, Gmail and Yahoo cannot be accepted.  Thanks for your understanding.