HealthPort AudaPro®: Powerful Web

Transcription

HealthPort AudaPro®: Powerful Web
HealthPort AudaPro®:
Powerful Web-based Audit Management Solution
© HealthPort. 2014 All Rights Reserved.
VN091814 FN1201
HealthPort understands the daily challenges associated with audit management. That is why we created AudaPro®, our
comprehensive audit management technology to help you mitigate the stress related to managing the many audits that
negatively impact your revenue. AudaPro provides one access point to all government and health plan audits for electronic
delivery and is designed to streamline audit requests, appeals management, and tracking for MICs, MACs, RAC, payer audits,
and more.
Integrated with HealthPort Release of Information™ (ROI), the use of AudaPro will speed audit related request delivery and
eliminate the cost associated with technical denials. AudaPro’s user-friendly functionality and intuitive workflow fluidly walk you
through the audit request, fulfillment, and electronic distribution
process as well as navigating through each level of appeal.
With AudaPro, you can:
• Integrate record delivery and tracking with one solution
• Monitor every audit request that comes in the door
• Review records before they are distributed and track
their delivery
• Control how the records are moved through the system
between case managers, auditors, and ROI staff
• Achieve a streamlined and error-free workflow
• Save precious resources like time and revenue
• Distribute records electronically and eliminate postage
costs
• Report on important numbers that affect your facility’s
revenue
HealthPort AudaPro®
Save time
and protect
revenue with
complete audit
management and
appeals tracking.
www.healthport.com | 800.737.2585
SUPERIOR REPORTING
Knowing the financial impact of audits
on your facility and understanding
problem areas associated with
audits is a must for today’s providers.
AudaPro offers over 100 reporting
options with Dashboard, Standard,
and Custom Reports. With these
powerful tools, you always know how
audits are affecting your facility’s
bottom line.
AudaPro Dashboard Reports provide
graphical and tabular financial
information to highlight areas such as:
• high-level view of dollars at risk
• record and appeal delivery
deadlines
• open requests and associated
level of appeal
• top five denial reasons
• and many more
The Dashboard Reports provide over
80 drill-down detailed reports so you
have the information you need to
show financial impact and begin rootcause analysis of audits.
AudaPro Standard Reports offer nine
reporting options based on common
reporting needs such as Performance,
Concurrent Appeals, Pending Audit,
and Closed Audit reports.
With AudaPro Custom Reports, you
can choose from all data elements
to craft reports specific to your
organization’s needs.
INTEGRATED ROI
The leader in release of information is the right choice for audit management.
HealthPort was the first health information handler (HIH) to recognize the link between release of information and audit
management. Our integrated solutions help fulfill and manage the audit process by providing streamlined workflow and
record fulfillment. Powered by our digital health information portal, HealthPort ROI facilitates the expedient transfer of
protected health information (PHI). With HealthPort Connex™, a combination of services and technology to confidentially
and securely fulfill and process requests, record delivery is 100 percent hands-free with unsurpassed HIPAA compliance.
Our skilled, professional ROI staff possess a strong acumen for the legal rights of the patient, and our state-of-the-art
technology features automated workflow and escalation management. HealthPort is truly the industry leader in ROI services
and the right choice for audit management. With integrated release of information capability, HealthPort AudaPro allows for
a deeper level of records management to ensure that timelines are tracked and dates are never missed.
HealthPort AudaPro®
AudaPro Features and Benefits
Federal Preset Audits
Pre-defined, ready-to-use federal audits (such as RAC, MAC, and CERT) allow you to quickly begin
managing the audit and appeals process. In addition, the user-friendly format will allow you to start
protecting your revenue immediately.
Audit Wizard
User-friendly Audit Wizard guides you through the process of building audits that fit your exact
needs. You can customize audit entry information and set up rules around due dates and appeals.
Audit Type Management
Logical grouping methodology allows you to better understand how each group of audits is affecting
your revenue. Organize your audits by type into pre-defined categories.
Dashboard Reporting and
Financial dashboards give you a complete view of of the financial impact of all audits, or you can “drill
Drill-Down Detail Reporting
down” to detailed reports which allow you to see potential lost revenue and create the appropriate
report, quickly and easily.
Standard Reports
Standard Reports created around common reporting needs give you specific information around
pending and closed audits, concurrent appeals, response reminders, and more.
Robust Custom Report
Allows for the creation of customized reports to meet the needs of your organization, where you can
Capability
choose from all data elements to focus on a specific audit or all audits.
Audit Conflict Management
Audit Conflict makes you aware of a potential conflict. Provides the ability to track (or be notified of)
conflicting audits, saving you valuable time and effort. If a particular record was previously audited
by another government entity, then it is no longer eligible for a RAC audit.
Dispute Management
Disputes can be easily logged and tracked via the dispute tab. Dashboard tracking and reporting
facilitate the management of a dispute lifetime.
Data Imports
Import claims and remittance data to auto-populate many of the data fields to save keystrokes and
improve accuracy.
Extension Request
Track extension requests and ensure that dates are not missed with updates and automatic due
dates.
Request History
The ability to view a complete picture of all requests associated with a particular audit. Provides a
complete audit trail for optimum HIPAA compliance.
Record Management
Integrated ROI allows you to easily view, approve, or disapprove every record before it goes to
(ROI request management)
the appropriate audit entity. This functionality enables you to increase the instances of a positive
response by ensuring the records contain all necessary information before releasing the chart.
Appeals Tracking and
Appropriate dates associated with appeals will map out automatically, and you will receive alerts to
Deadline Management
eliminate missed appeals deadlines.
Custom Email Alerts
Assign requests and set up emails to facilitate workflow and meet deadlines.
Communication
Send emails to any user in the system to assign requests to groups or individuals for optimal
Management
communication across your continuum.
Electronic Delivery
Secure electronic delivery, tracking, and confirmation through the CMS esMD portal shortens
delivery time from days to just hours. Paper delivery and tracking available for auditors not connected
to esMD.
www.healthport.com | 800.737.2585
HEALTHPORT CONNEX™
One Conduit – Multiple Connections
© HealthPort. 2014 All Rights Reserved.
VN091814 FN1201
HealthPort Connex is the largest, most secure distribution network in the ROI industry. With many different access points,
like AudaPro, you can connect to multiple delivery methods including electronic, esMD, direct connections, and paper if
needed. As the industry innovator, HealthPort continues to create products and services that help you efficiently manage
your ROI and audit processes.
HealthPort AudaPro®
www.healthport.com | 800.737.2585