Claim Audits Simplified
 
 

The call for a better Large Claim Auditing Solution... 

 
 

Answered. 

 
 
 
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LARGE CLAIM REVIEWS ARE Essential to CLAIM PAYMENT INTEGRITY.  

 
 

The challenge is making them COST-effective, less TIME-CONSUMING, AND CONSISTENT.  

 
 
 
 
 
 
 
 

What if there were

a better way? 

 
 
 
 
 
 
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The Problem

Auditing large healthcare bills is resource-intensive.  THE COMPLEXITY in OUR HEALTHCARE SYSTEM forces auditors to often use several software applications, refer to numerous documents, and often collaborate with colleagues to complete their review.   

The process often takes hours, or even days to complete a single bill review.

 

 

 

WHAT IF?

 

 
 
 
 

What if outsourcing could be eliminated? 

If claims no longer had to be pended for outside review, what would that mean?  Improved turnaround?  Better review consistency?  Lowered costs? 

 
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What if it were possible to audit more claims with fewer resources? 

If it were possible to increase your review capacity by 2 or 3 fold, what would that mean to your department?  What if it were possible to do this with the same or even fewer resources? 

 
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What if you could better manage your audit team and department workflow? 

What if it were possible to provide instant team collaboration on complex reviews?  What if your departmental metrics were at your fingertips - and in real time?  What would that mean to you?