ATLANTA, February 22, 2012 – Craneware, Inc., the market leader in automated revenue integrity solutions, today announced that the Craneware InSight Audit™ solution has achieved platinum-level status, the highest level of integration certification from Executive Health Resources, a leading provider of medical necessity compliance and appeals management solutions. The Executive Health Resources Integrated™ certification validates that by using Craneware’s InSight Audit software, hospitals will be able to seamlessly communicate with Executive Health Resources to send and receive denial appeals data and status updates relevant to all governmental auditing programs such as the Recovery Audit Program (formerly RAC).
Craneware’s InSight Audit is a fully hosted, Web-based solution providing healthcare organizations with one central setting for managing all audits of claims. The solution offers a full set of features for submitting, tracking and appealing claims in response to the wide range of audits. Its proven workflow, unmatched knowledgebase and reporting capabilities are designed specifically for success in navigating the multiple levels of inquiries and appeals, and creating a core audit tracking and correspondence database that will minimize risk and exposure.
As a certified Executive Health Resources Integrated solution, Craneware’s InSight Audit is now verified to enable hospitals and health systems to exchange Recovery Audit appeals data and status updates seamlessly with Executive Health Resources. With this integration, hospitals that use the Craneware InSight Audit solution and Executive Health Resources can reduce their appeals data processing time, maintain data integrity and gain timely access to medical necessity appeals process status.
“By utilizing an Executive Health Resources Integrated solution such as Craneware’s InSight Audit solution, hospitals that partner with Executive Health Resources to manage their medical necessity denials and appeals will experience meaningful time and cost savings in avoiding the manual transfer of data to and from Executive Health Resources,” explains Mike Modiz, Vice President of Administrative Operations for Executive Health Resources. “In addition, Executive Health Resources will receive appeals data and provide status updates more quickly. This allows for immediate action by our appeals management team and more timely access to the status and result of each appeal by hospital clients.”
“The certification of our InSight Audit solution underscores Craneware’s dedication to hospital and health systems’ revenue integrity,” said Keith Neilson, CEO of Craneware. “The Executive Health Resources Integrated certification could not have come at a time of greater significance in healthcare. With CMS forecasting increased scrutiny from Recovery Auditors in 2012, it is vital that healthcare organizations minimize the risk to their revenue, ensuring their earned reimbursement is both received and retained.”
Craneware Revenue Integrity Solutions™ span four product families: Audit & Revenue Recovery, Revenue Cycle, Supply Management, and Access Management & Strategic Pricing. More than a quarter of all registered U.S. hospitals use Craneware software.
About Executive Health Resources
Executive Health Resources, Inc., The Physician Advisor Company™, is a leading provider of medical necessity compliance solutions to more than 2,000 hospitals and health systems across the country. Endorsed by the American Hospital Association and Peer Reviewed by the Healthcare Financial Management Association, Executive Health Resources’ comprehensive solutions are delivered through expert Physician Advisors who are specially-trained in Medicare/Medicaid rules and regulations relating to medical necessity and have real-time access to Executive Health Resources’ database of more than 4 million validated medical necessity reviews. Learn more about Executive Health Resources at www.ehrdocs.com.
Craneware (AIM: CRW.L) is the leader in automated revenue integrity solutions that improve financial performance for healthcare organizations. Craneware’s market-driven, SaaS solutions help hospitals and other healthcare providers more effectively price, charge, code and retain earned revenue for patient care services and supplies. This optimizes reimbursement, increases operational efficiency and minimizes compliance risk. By partnering with Craneware, clients achieve the visibility required to identify, address and prevent revenue leakage. To learn more, visit craneware.com.
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