Case Study: Ministry Health Care Claims Auditor Case Study

 

With the introduction of the Recovery Audit Contractor (RAC) program by CMS, Milwaukee, Wisconsin based Ministry Health Care was facing a new, much more expansive audit risk that jeopardized their legitimate revenue.  To better enable the management of RAC and protect their legitimate revenue, Ministry Health Care decided that they needed a robust software application. 

Read the Ministry Health Care Case Study to learn how they are using Compliance 360's Claims Auditor solution to automate RAC and other claims audits from the initial record request through the appeals process, using one solution to manage multiple audit types, and gaining visibility into all audits, financial exposure, trends, individual responsibilities and assigned tasks.

 

 

 

 

 

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Ranked as the fastest growing GRC software vendor in Inc. Magazine’s 2011 list of America’s fastest growing private companies, Compliance 360 is a leading provider of enterprise governance, risk management, compliance and audit management solutions for companies that operate in regulated industries.  With these solutions, organizations reduce risks, improve efficiencies and protect their brands using a single platform to address their comprehensive GRC requirements.  The Compliance 360 Software-as-a-Service (SaaS) solution suite helps organizations address policies and procedures management, regulatory compliance management, internal and external audits, third party risk and vendor management, contract management, privacy breach management, incident management, fraud, waste & abuse, surveys, accreditation, enterprise risk management and IT governance. 

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