MediRegs has released Audit Detail Manager (ADM), a new module in the MediRegs ComplyTrack™ suite.
MediRegs, a leading provider of specialized health care compliance and reimbursement research products and workflow tools, has released Audit Detail Manager (ADM), a new module in the MediRegs ComplyTrack™ suite. ADM is currently installed and helping facilitate the audit process in numerous health care facilities across the country. MediRegs is part of Wolters Kluwer Law & Business, a leading provider of research products and software solutions in key specialty areas for legal and business professionals.
ComplyTrack ADM supports the provider community by combining the tools required to manage the audit process efficiently and effectively as well as to assess readiness and preparedness for the Recovery Audit Contractors (RACs). ADM detects, analyzes, reports and aids in the prediction of trends and virtually any kind reimbursement audits. ADM maintains audit trails for all correspondences, detailing claim-level tracking from initial request through the multiple levels of appeal. It delivers standard and customized reports at every level throughout the entire process. ADM enables audit response teams to focus their efforts on the audit by eliminating redundant manual processes and aids in tracking and recapturing every dollar.
“ComplyTrack ADM helps our hospital system manage the entire audit process, from patient record requests to audit outcomes. Plus, the extensive reporting capability helps eliminate rework, quickly informs key team members of the audit status and acts as an educational tool to staff members,” said Therese Janus, compliance analyst, Corporate Integrity, Tuomey Healthcare System.
Beyond RAC Audits
ComplyTrack ADM is designed with the flexibility to manage any type of regulatory agency audit. In today’s environment, hospitals will not only be faced with RAC Audits but Medicare Administrative Contactors (MACs), Quality Improvement Organizations (QIOs) and Zone Program Integrity Contractors (ZPICs) have all announced plans to step-up audit and enforcement activities.
“ADM is specifically designed to handle the high-volume, time-sensitive, complex workflow needed to satisfy any audit record requests, process determination letters and navigate the rebuttal and multi-tiered appeal process,” said Steven Lefar, general manager of MediRegs. “When combined with our research tools like the Audit and Revenue Suite and the ComplyTrack Activity Event Manager, Risk Assessment Manager and Survey Manager, the user has a powerful enterprise tool to manage the entire process from set up of the RAC Team to the audits and ongoing monitoring and detailed evaluation of the claims themselves.”
About the ComplyTrack Suite
The ComplyTrack Suite is a web-based solution for total compliance program management. Already in daily use in hundreds of hospitals throughout the United States, ComplyTrack is the most comprehensive, cost-effective and practical set of compliance management solutions for the health care industry.
For More Information
For more information on the ComplyTrack Suite or for information on the ADM module, visit mediregs.com or call 1-800-808-6800.
About Tuomey Healthcare System
Anchoring the Tuomey Healthcare System, Tuomey Regional Medical Center is a 301-bed, JCAHO-accredited healthcare facility. Its more than 400,000 square feet house the most advanced medical technologies, and more than 150 physicians bring the best in health care treatment to area residents in Sumter, S.C.
About Wolters Kluwer Law & Business
Wolters Kluwer Law & Business is a leading provider of research products and software solutions in key specialty areas for legal and business professionals, as well as casebooks and study aids for law students. Its major product lines include Aspen Publishers, CCH, Kluwer Law International and Loislaw. Its markets include health care organizations, law firms, law schools, corporate counsel and professionals requiring legal and compliance information. Wolters Kluwer Law & Business, a unit of Wolters Kluwer, is based in New York City and Riverwoods, Ill.
Wolters Kluwer is a leading global information services and publishing company. The company provides products and services globally for professionals in the health, tax, accounting, corporate, financial services, legal and regulatory sectors. Wolters Kluwer has annual revenues (2007) of €3.4 billion ($4.8 billion), maintains operations in over 33 countries across Europe, North America and Asia Pacific and employs approximately 19,500 people worldwide. Wolters Kluwer is headquartered in Amsterdam, the Netherlands. For more information, visit www.wolterskluwer.com.