In a perfect world all claims are billed and paid completely and accurately. Unfortunately, payments errors are a reality and are costly for all stakeholders. In order to conduct successful contract compliance audits, it is simply not enough to look for things your organization knows are broken. A successful audit has to go beyond what is known and look at what’s not known. The only way to accomplish that is to re-adjudicate all claims paid under specific contract terms, group or medical policies. In our experience, organizations that do not conduct comprehensive audits, leave between 1% and 3% on the table.

For over 10 years, Chart-Tech has led the field in the area of administrative compliance audits. Our innovative Web-Based solutions empower organizations with the resources they need to identify claims payments errors quickly and accurately.

Our web enabled Visium™ Audit & Reporting System (ARS) provides an objective evaluation of payment integrity by repricing claims, calculating expected payment and comparing this value to actual payment. The System aggregates all salient billing and remittance data so users can quickly validate reported payment errors. Unique functionality built into ARS speeds the validation process and enhances intra-party communication necessary to resolve payment errors.

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