ComplyTrack™ Audit Management
Proactively manage every facet of your claims-based audit process.
A part of the powerful and flexible ComplyTrack platform, Audit Management allows you to respond both proactively and retroactively to auditors while simultaneously managing multiple rounds of appeals.
Proactively manage every facet of your claims-based audit process
- Ensure consistent, proper, and timely handling of any claims-based audit across your entire organization, with this secure enterprise-wide solution. Track both RAC and non-RAC audits from first letter to last appeal without an investment in additional staff.
- Minimize your organization’s ongoing financial risk by identifying denial trends, quantifying appeal outcomes, and quickly projecting audit losse to ensure reserve funds are properly allocated.
- Detect, analyze, report on, and predict trends using powerful embedded IBM Cognos reporting. Automate claims import processing, eliminating the need for manual claims data entry.
Designed to put you in control of the complete audit life cycle
Audit Management provides the flexibility to manage government audit requests such as Recovery Audit Contractors (RACs), Medicare Administrative Contractors (MACs), the Medicaid Integrity Program (MIC), Zone Program Integrity Contractors (ZPICs), or any commercial payer audits.
Now available with Claims Hub, all your remittance and billing data—ON DEMAND
Claims Hub stores 835 remittance and 837 billing data in a secure, central location for immediate access by claim number, medical record number, patient name, or other key data point in ComplyTrack Audit Management.
Quick Cartoon Case Studies—Can You Identify?
Watch these four quick cartoon case study videos to see if you can identify with the risks faced by these four healthcare compliance professionals.