Better Visibility, Better Defense
Craneware’s Revenue Recovery & Retention solutions give you the ability to recover and preserve more reimbursement.
Automating audit and denial processes is the solution for leading hospitals across the country.
InSight Denials drills into your 835 remittance data to uncover the root causes leading to denials. With this solution, you can identify and implement process improvements to eliminate recurring denials and optimize revenue.
A single, on-demand view for managing all aspects of claims denials.
Efficient, balanced workload management
Trending reports to measure the impact of process improvements.
Craneware’s InSight Audit allows you to centrally manage all audit types, from initial chart request through to the final levels of appeal.
Visibility into audit rates, denial reasons, and appeals.
Measurable audit KPIs
Automated and integrated audit case notes into your hospital’s billing system.
Appealing improper denials is an important step in protecting your hospital’s margin. Our Appeal Services consultants have been at the front-lines of audit management since the early days of the recovery audit demonstration phase: their real-world experience with managing the RACs is why we created InSight Audit in the first place.
Craneware has the experienced staff you need to review your denials, write successful appeals, and overturn improper denials. When a denial review results in a recommendation not to appeal, written guidance is provided back to the hospital to help prevent the same denials from reoccurring.