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A comprehensive, not-for-profit health care provider that includes a 116-bed hospital, a network of clinics, and therapy sites in Lake of the Ozarks, Missouri.

Challenge

Six-fold increase in audit volume and constantly changing auditor rules overloaded the organization’s paper-laden tracking system

Solution

Craneware’s InSight Audit® to manage and automate the complex, multi-payer audit process

Results

Keeping ahead of auditor demands, minimizing audit risk, and retaining more earned income with overturned denials

“We have appealed 85% of our auditors’ denial decisions so far, and completed appeals have been found in our favor 91% of the time.”

Jo Anne Gitchell, RN, RA Coordinator

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