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Three-hospital system, including a medical center and two critical access hospitals, providing healthcare throughout northwest North Carolina and northeast Tennessee.

Challenge

Eliminating manual hand-keying of 835 remittance advice and 837 claim transactions in response to RAC and MAC requests and generally streamlining audit management

Solution

Craneware’s web-based InSight Audit®, which manages all claim audits and workflows from a central location

Results

Transaction hand-keying eliminated; printing reduced by more than 10,000 pages per month; internal processes streamlined to minimize compliance risk and optimize reimbursements

“Craneware supported a very fast, very satisfying InSight Audit implementation, and the solution has exceeded our original goals in minimizing compliance risk and optimizing reimbursements.”

Tasha M. Yoder, Revenue Integrity Analyst and Denials Management Coordinator

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