ClaimTrust Introduces New Audit Tool for Hospitals
Murfreesboro, Tennessee, August 20, 2009… ClaimTrust, a leading provider of revenue cycle tools and services for hospitals, today announced the availability of its newest product, InSight Audit, a fully hosted, web-based solution that will provide healthcare organizations with one central location for managing all medical claims audits. Building on the core workflow and reporting capabilities of its industry leading RAC tool, ClaimTrust’s new InSight Audit solution offers a full set of features for submitting, tracking and appealing claims in response to a range of audits, including Medicaid Integrity Contractor (MIC) and Medicare Administrative Contractor (MAC).
Securely accessed from any browser, this comprehensive audit solution tracks audited claims from chart request all the way through final appeal. It also automatically detects previously audited claims to ensure that the same claim is not audited twice. InSight Audit’s built-in knowledgebase includes winning arguments and appeal letter templates designed to ensure best practices throughout the appeals process. The solution’s inbuilt comprehensive workflow function allows tasks to be distributed across multiple team members, departments and facilities as needed, making it easy to track every element of the process and ensuring accountability at every step.
“With the increasing number of public and private cost management programs coming into play in healthcare today, we saw a clear need for a more comprehensive audit tool that will support provider organizations through a range of different processes,” said Joe Ferro, president and chief executive officer, ClaimTrust, Inc. “InSight Audit leverages information and invaluable lessons gathered by our expert RAC team during the RAC demo phase, where they achieved an 84 percent success rate in winning RAC appeals and recovered an overall $6.8 million for our clients.”
InSight Audit was designed to support MAC, MIP, Comprehensive Error Rate Testing (CERT), Zone Program Integrity Contractor (ZPIC), audits by commercial payors and several others. This automated workflow tool is constantly updated to include the latest information on best practices, deadlines and payment rules discovered by the ClaimTrust services team. InSight Audit is integrated with InSight Reports to enable hospital staff to quickly identify and trend areas of exposure and navigate through the multiple levels of audit inquiries and appeals. The solution’s reporting capabilities include the ability to calculate all applicable due dates, and create shared reports and team alerts for meeting key deadlines.
InSight Audit is part of ClaimTrust’s InSight Revenue Cycle Solution®, the first hospital revenue cycle system to offer comprehensive all-payor edits designed to target the key inflection points in the revenue cycle to help hospitals find more cash than any other solution available today. ClaimTrust’s comprehensive revenue cycle solutions suite offers true all-payor support down to the fiscal intermediary and plan level, while providing the industry’s deepest edit library.
About ClaimTrust
ClaimTrust focuses exclusively on hospital revenue cycle tools. That singleness of purpose enables it to deliver the industry’s most effective mix of software and services designed to ensure that hospitals collect more of the revenue they are entitled to as fast as possible. The ClaimTrust InSight Revenue Cycle Solution is a suite of Web-based products that target the key revenue cycle inflection points that have the greatest impact on the bottom line. ClaimTrust provides the industry’s most frequently updated and deepest edit library; the ability to find new revenue from unbilled charges; a denials analysis engine which identifies trends and rules to generate edits that no other vendor has; and true all-payor support.
