Gain Full Control of the Entire Audit Process While Managing Denials and Audits
- A 360 Approach to Revenue Integrity
- Powered by SAI360 for Risk Intelligence
- Take Control of Your Audit and Denials Process
Audits conducted by payers, combined with inappropriate denials and underpayments, present significant risk to legitimate revenue and profit margins for healthcare providers. Retrospective and prepayment audits performed by commercial and government payers and contractors add to the administrative burden. Additionally, healthcare providers must contend with different appeal processes, response timelines and documentation requirements. If not managed effectively, stiff penalties, no payment or automatic recoupment of previously paid claims can result.
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