On January 23, Compliance 360 will host a FREE web demonstration of its Claims Auditor solution for managing CMS RAC audits.

Please note, these sessions are for healthcare providers ONLY. If you are not a healthcare provider, but would like to learn more, please contact us.

When registering for this web demo, you must use your company e-mail address.  Addresses such as AOL, Hotmail, MS and Yahoo cannot be accepted.

The RAC audit and appeals process, as outlined by CMS, is very complex.  The appeals process is also dynamic with revisions continuing to be published.  You need to be prepared with need a system that can help you manage the entire audit process from the initial request, to demand letters, timely replies, determinations and appeals.  You also need the detailed information in hand to make well-informed decisions on proceeding with appeals.  When appeals are filed, you need the ability to track all the critical dates and ensure that input from each department is received and processed in a timely manner.  When used to prepare for and manage RAC audits, the Compliance 360 Claims Auditor can help you:

  • Establish your Claims Audit System of Record by using the Compliance 360 Claims Auditor as your central location for managing all claims audits and storing all related information.

  • Manage the entire claims audit process across all departments and create organizational accountability. With highly configurable workflow and specific workflow templates for RAC audits, non-technical personnel can efficiently automate processes, activities, and due-date alerts across all departments in their hospitals.

  • Make well-informed decisions throughout complex claims audit and appeals processes and proceed with appeals only when the outcome is likely to be successful.

  • Minimize the recoupment of legitimate revenue by managing the appeals windows to ensure that critical deadlines are not missed.

  • Provide executive visibility with real-time dashboards. Executives and other key decision makers can closely monitor the status of pending appeals and the financial exposure of active medical claims audits.

  • Proactively establish barriers to auditors by demonstrating an "in control" status with efficient self assessments and internal defense audits.

  • Incorporate claims audit management into your broader compliance and risk management programs using the comprehensive Compliance 360 GRC platform.  This is important for hospitals seeking to address the increasing governance and risk management needs of their boards of directors in today's climate of increasing demands for regulatory oversight and scrutiny of bonds rating agencies.

Accomplish all of these objectives without installing or maintaining any software or additional computers. The entire Compliance 360 system including the Claims Auditor is provided as a secure Internet service that can be accessed from any location.

Who Should Attend:

CEO, CFO
Chief Risk Officer
Chief Compliance Officer
Director of Risk Management
Director of Regulatory Affairs
Hospital Legal Regulatory Counsel
VP/Director of Revenue Cycle

 

 

You are also invited to replay our on-demand recorded training webinars on RAC. These training webinars have been attended by more than 1,000 participants and have received very positive feedback:

  • Preparing for a CMS RAC Audit: Minimize your RAC Losses. Maximize Your Quality of Care. Click HERE to learn more and register to view the on-demand training.
  • RAC ATTACK: When to Appeal? How to Appeal? An Operational Guide to RAC Appeals, Click HERE to learn more and register to view the on-demand training.
This event has already taken place.

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Sponsored by
Compliance 360 for Healthcare

The Compliance 360 software-as-a-service (SaaS) solution for healthcare enables a comprehensive approach to regulatory compliance and risk management through a single enterprise-wide platform.  With this solution, healthcare providers have the unique ability to link all their compliance activities and documentation to the pertinent regulations through a Virtual Evidence Room™.  The Compliance 360 solution for healthcare addresses the need for policy management, centralized regulatory management including HIPAA, Medicare, EMTALA, STARK and others, OIG corporate integrity agreements (CIA), adverse-event management, contract management, surveys, remediation projects, medical records audit management for Medicare CMS RAC audits, self assessments, and enterprise risk management.  Industry leading healthcare providers that depend on Compliance 360 include Billings Clinic, Catholic Healthcare Systems, IASIS Healthcare, InterDent, Jackson Memorial Hospital, LifeLink Foundation, MultiCare Health System, Nassau University Medical Center, PeaceHealth, Saint Joseph's Hospital of Atlanta, St. Elizabeth Medical Center, St. Luke's Regional Medical Center and Spectrum Health.  To learn more about the Compliance 360 solution for healthcare, please visit www.compliance360.com/healthcare.

 

 

 

 

 

Compliance 360, Inc., 1185 Sanctuary Parkway, Suite 250, Alpharetta, GA 30004
Tel: 678.992.0262 Fax: 678.992.0266

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