Audit Management Key Benefits May 11, 2017

Audit Management R1 Key benefits (not available in CT5 ADM) Dashboard with Revenue at Risk widget Audit Dashboard filters to further refine data Audit Configuration concept with associate Business Rules to assist in automating the workflow Ability to define multiple UDF templates and associate them in an Audit Configuration at the Audit Request, Claims, and Appeal levels Ad hoc reporting via IBM Cognos that can combine RAC and non-RAC data on a single report IAM and AM Tasks included in combined dashboard Attachment Drag & Drop Timing is right: Next round of RAC contracts recently awarded Expanded enforcement budget (add’l $71M) Confidential

Audit Dashboard – Revenue at Risk Shows total risk as well as at the claim and appeal level. Title of presentation

Audit Dashboard Filters Notice that the Revenue at Risk dropped from $908k on the prior screen to $878k based on filtering by a single location – WK Hospital. Title of presentation

Audit Configuration The audit configuration contains parameters that are used to customize the parameters of an audit. It sets business rules for due dates, the number of appeal levels, and the user defined fields available for audit requests, claims, and appeals. Includes both RAC and non-RAC configuration types. Title of presentation

Business rules assist in automating the workflow Title of presentation

User defined fields can be added at the audit request, claim, and appeal levels Title of presentation

IBM Cognos Reporting Combined RAC and non-RAC data on a single report Title of presentation

Drag & Drop Attachments Title of presentation