Compliance 360 Unveils Claims Audit and Appeals Module

Compliance 360, providers of a governance, compliance, accreditation, and audit software solution, have just added a new module to the already impressive array of features.  The new module helps healthcare organizations navigate the increasingly important world of claims audits.  As many of our readers will know, CMS rolled out a pilot program to attempt to get back a portion of the billions lost to overstated Medicare Claims through a program known as "Recovery Audit Contractor" ("RAC").  As the company's Web page on the module notes, the new module "has been designed for managing a wide variety of claims audits including the Medicare Recovery Audit Contractor (RAC) program, Medicare Program Safeguard Contractor (PSC) audits, Medicare Comprehensive Error Rate Testing (CERT) audits, Medicaid Integrity Contractor (MIC) audits, Medicaid Fraud Control Unit (MFCU) audits and other forms of claims audits."  Click here to see the full description of the audit.

In the 5-minute video, below, I talk a bit about how I came to know Compliance 360's compliance and accreditation software in some of its earliest iterations, and why I continue to recommend the product and the people to my clients who need a comprehensive compliance software solution.