VERACITY™ AuditMaster is a business process & workflow management tool designed to help providers respond to payor audit requests and or provider internal audits. Medicare’s Recovery Audit Contractor program (RAC) is unfortunately here to stay and as usual Medicaid and managed care payors are jumping in with their audit programs.
VERACITY™ AuditMaster has the workflow built in to manage all tasks related to responding and managing audits. Tasks have timeframes designed to meet payor deadlines. Alerts and emails are sent automatically to keep providers on track and on time. The dashboard allows senior leaders to visually see how well their facility (or facilities) are doing handling audit request and also see what the payor decisions are as a result of the audit.
VERACITY™ AuditMaster Key Features:
- Tracking and Monitoring of all payor audit cases
- Built in workflow based on best practices to improve productivity, reduce costs and meet deadlines
- Advanced automation: VERACITY™ automatically distributes the workload, monitors progress, manages timeframes and escalates stages and tasks
- Automatic setup of cases based on provider’s criteria
- Improved productivity and collaboration: Enhances collaboration with all internal and external stakeholders involved with audit process
- Automatic email notification of new tasks, cases and tasks approaching or past due
- All documents related to the case are stored electronically. This includes letters from RAC or payor requesting charts, the electronic medical record, letters sent to payor, etc.
- All 837 claims and 835 remits associated with the case is available for viewing or printing.
- Cases are populated with case information using the 835 file.
- A Dashboard for audits provide a quick snapshot of audit requests, dollars at risk and audit decisions
- AHA RACTrac integration
- Standard reports with export capabilities
- Medical records can be submitted to payors electronically
- Intuitive, common user interface, low training needs