First the RAC letters began to arrive, now the MIC Audit letters are arriving. The inherent complexities of the MIC audit process create an advantage for the MIC Auditors and a disadvantage for healthcare providers. In order to minimize the recoupment of legitimate Medicaid revenues, healthcare providers need to take control of the MIC audit process. This can be accomplished with a system that helps providers ensure accountability throughout their organizations and proactively manage their claims audits to ensure that critical deadlines are not missed. Is your system versatile enough to handle the combined complexities of MIC, RAC, ZPIC, and other claims audits, including private audits conducted by the health plans?

Regardless of the type of claims audit, the Compliance 360 Claims Auditor is proven to help healthcare providers automate the management of each step in the claims audit process. The system, rather than the Claims Audit Coordinator, can police the critical dates and responsibilities for each step in the audit and appeal of each claim. This allows the Claims Audit Coordinator to concentrate on high-risk areas and maintain control of the overall response.

Join us for a free demonstration and see how the Compliance 360 Claims Auditor can help you:

• Establish your "Claims Audit System of Record" using the Compliance 360 Claims Auditor as your central location for managing all claims audits and storing all related information.
• Manage the entire MIC audit process across all departments and create organizational accountability. With highly configurable workflow templates, your compliance personnel can efficiently automate processes, activities, and due-date alerts across all your departments.
• Make well-informed decisions throughout the MIC audit and appeals processes and proceed with appeals only when the outcome is likely to be successful.
• Minimize the recoupment of your legitimate revenues by managing the MIC audit and appeals windows to ensure that critical deadlines are not missed.
• Provide executive visibility with real-time dashboards. Your 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 MIC 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.

Who Should Attend

• Claims Audit Coordinators(RAC, MIC, ZPIC, etc)
• Chief Compliance Officer
• CFO or VP/Director of Revenue Cycle
• Chief Risk Officer or Director of Risk Management
• Director of Regulatory Affairs
• Hospital Legal/Regulatory Counsel

Please note, this product demonstration is available for healthcare providers only. If you are not a healthcare provider but would like to learn more, please contact us. When registering for this demonstration, please use your company email address. Personal addresses such as Yahoo, Hotmail, Live, Gmail cannot be accepted. Thank you for understanding.

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