Provider Solutions

Revenue Integrity Suite > Compliance+

Compliance+

solutions-mockup-audit-letter-date

Compliance+ identifies potential billing and coding risks by enhancing Audit Monitor with a risk rules engine. A product of the Revenue Integrity Suite, this helps providers and managers to prioritize areas of focus, track trends over time, and create the action plans necessary to minimize organizational risk.

Compliance+ also extends the compliance team’s analytics beyond proactive compliance risk analytics with mid-cycle denials analytics, basic accounts receivable analysis, and MEDPAR and PEPPER analysis.

Let your data tell the story

Executive Dashboards provide insights into high-impact audit trends and their financial impact, yielding outstanding results for organizations, including:

%

reduction in time spent building reports

%

improvement in appeals success rate

%

reduction in audit volume

Workflows and insights for better outcomes

Save hours of work pulling together reports and drilling down into your data with out of the box solutions that enable you to:

Achieve financial and operational improvements

Dashboards make it easy to spot where improvements can be made by facility, physician, payer, target area, audit reason, and more

Connect improvements to financial success

Benchmarking facilities and payers to find outliers and areas of improvement provides insights into high-impact audit trends and their financial impact

Holistic support for hospital and professional fees

Professional fees can be easily managed independently or as part of a single-platform approach

What our clients say:

“A focus on decision-based insights has supported our teams in solving the problems of the day without distracting from ongoing metric performance improvement initiatives.”

- Trevor Snow, VP of Health Information Management, Ardent Health Services

Analytics in action

Our intelligent platform and intuitive user interface make it easy to unlock the value of your data. Click through the screenshots below to see how we bring meaningful insights, powerful visualization and analytics innovation to facilitate smarter decision making.

Reduce time uncovering at risk claims and at-risk payments

Conduct monthly trends analysis to uncover target areas for education and proactive internal audits

Want to talk with one of our experts on the power of analytics?