Defend the Truth with Precision and Accuracy
Protect revenue with VERACITY™
Intersect Healthcare has developed the most comprehensive RAC audit tracking, management and appeals module available to hospitals preparing for the RAC program. VERACITY™ is a web-hosted, all payer denial and appeals application service engineered for ease of use, rapid implementation, little to no IT resource requirements and no highly specialized training requirements. The software includes process-driven workflows, denial prevention tools and automated appeals processing for RAC complex and automated reviews, as well as all other audit and denial types. It provides critical operational support with an automated and thorough response process to both government audits and commercial denials.
VERACITY™ centrally manages all RAC cases, RAC documents, medical record requests and appeal actions. Accounts, cases and requests for data, documents and medical records flow between departments in real-time, ensuring actionable items are completed with measurable accountability for each step in the process. Escalation features automatically route upheld appeals to the next level of action. The audit is mapped and managed in detail from the request for records through the ALJ hearing and beyond. Groups of appeals and records can be faxed, emailed, zipped to a CD or sent via FTP right from the user’s desktop, all with HIPAA-compliant encryption and data security.
VERACITY™ is an affordable, complete solution, and includes remittance, claim and patient accounting interfaces. This eliminates the need for manual logging or entry of RAC cases almost entirely. As opposed to just a “logging” spreadsheet or MS Access tracking database, it is an action and operations-oriented management system. Intersect Healthcare is also programming to ensure VERACITY™ is compatible with AHA’s RACTrac survey; we are included on the AHA list of vendors with RAC Audit toolkits.
VERACITY™ Features:
- Adaptable, Pre-defined Audit Workflow
- Internal and External Timeframe Management
- Automated Outsourcing to External Agents
- Document Management and Control
- Medicare & Medicaid Claim / Remit Data Warehouse for RAC-like analysis and take-back prevention
- Automated Case Processing and Auto Appeal Escalation
- Pre-built Appeal Templates and FI, QIO and ALJ Forms
- All-Payer Denial Analysis, Prevention and Appeal module
- Audit Analytics and RAC Reporting
- Patient Accounting System take-back reconciliation
- Rapid Deployment – Live in 30-60 days
- Link directly to your FI and the RAC QIO
VERACITY™ Regulatory Audit Module
VERACITY™ Data Mart
VERACITY™ Commercial Payer Compliance Module