Audit Management Overview

Audit Management provides all the tools needed to effectively handle RAC and other Medicare audits—and prevent future RAC take backs using claim edits based on known target issues. It allows you to assess potential risk, manage the audit and appeal processes, monitor deadlines, identify root causes, and calculate net financial impact.

This solution was designed specifically to meet Medicare and other payer audit requirements, including RAC, MAC/FI ADR and probes, CERT audits, MIC audits, other Medicaid, commercial, and more.

This comprehensive and configurable solution helps you:

• Manage various deadlines
• Minimize your workflow burden
• Provide accurate and timely information
• Prevent future issues