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MedAssets is assisting more than 100 healthcare facilities, helping them develop and execute comprehensive RAC strategies using MedAssets Claims Auditor to improve revenue integrity and retention. The MedAssets Claims Auditor solution audits historical claims to assess risk and uses interactive workflow and customized reporting to appeal RAC audit findings in a timely and efficient manner. The solution also utilizes MedAssets' market-leading coding and reference research tool and helps identify areas for improvement such as compliance and reimbursement issues and/or omissions.
As part of the certification process, MedAssets Claims Auditor was tested to ensure that it integrates with EHR's internal, proprietary enterprise technology systems through accurate data sharing across an inbound/outbound data exchange interface that was created by EHR. Upon completion of the testing, it was determined that MedAssets Claims Auditor is compatible with the EHR's data exchange, resulting in its EHR Integrated(TM) certification.
"Our recent EHR Integrated(TM) designation underscores our continued commitment to help hospitals in achieving greater process efficiencies, accuracy and effectiveness during a time of increased scrutiny by auditing bodies," states D.T. Nguyen, President, Revenue Cycle Management, MedAssets. "Given the labor-intensive and long-term nature of managing and appealing payor denials, we are pleased to work with EHR to help hospitals streamline this process so that their focus can be on the hospital's many other top priorities."
EHR processed more than 28% of all medical necessity RAC appeals during the demonstration project, making it the largest single RAC medical necessity appealing organization. The EHR Integrated(TM) certification program was established to provide an easy way for EHR's 800+ hospital clients to identify the software solutions that can exchange data and images with EHR. This integration can provide EHR's hospital clients a way to reduce their appeals data processing time, to maintain data integrity and to allow them timely access to appeals process status.
"By utilizing an EHR Integrated(TM) solution such as MedAssets Claim Auditor, hospitals that partner with EHR 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 EHR," explains Mike Modiz, Director of Operational Effectiveness for EHR. "In addition, EHR 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."
About MedAssets
MedAssets (NASDAQ: MDAS | Quote | Chart | News | PowerRating) partners with healthcare providers to improve their financial strength by implementing spend management and revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. MedAssets serves more than 125 health systems, 3,300 hospitals and 30,000 non-acute care healthcare providers. For more information, visit www.medassets.com.
About MedAssets Claims Auditor
Claims Auditor facilitates response to the five CMS review programs and helps provide overall compliance with healthcare regulations. MedAssets Claims Auditor helps providers cut through the complexities of Medicare claims and payments, replacing labor-intensive research and review with accurate, process improvement technology. It identifies coding, compliance and reimbursement issues caused by claims errors and omissions. Uniquely, it provides tracking and reporting on issues identified during the audit process and monitors the status of the audits for all CMS review programs including RAC, OIG or Medical Reviews.
About Executive Health Resources
Executive Health Resources (EHR), The Physician Advisor Company(TM), is the leading provider of real-time, point-of-care, expert Physician Advisor solutions to more than 800 hospitals and health systems across the county. Headquartered in Newtown Square, Pa., EHR's comprehensive solutions include Medicare and Medicaid Compliance Management, Medicare and Medicaid Denials Management (including RAC, QIO and MAC denials) Commercial Payor Denials Management, and Length of Stay Management. To date, EHR's Physician Advisors have successfully performed more than 1 million medical necessity reviews, conducted hundreds of audits at client hospital facilities and successfully identified and reversed thousands of inappropriate RAC medical necessity denials at all levels of appeal. Learn more at www.ehrdocs.com and www.theRACcure.com.
SOURCE: MedAssets, Inc.
MedAssets Regina Haas, 678-624-7420 Director, Communications rhaas@medassets.com or Executive Health Resources Michele Bowman, 484-362-1705 PR Manager mbowman@ehrdocs.com
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