1. Audit Management Key Benefits
May 11, 2017

2. 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

3. Audit Dashboard – Revenue at Risk
Shows total risk as well as at the claim and appeal level.
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4. 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.
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5. 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.
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6. Business rules assist in automating the workflow
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7. User defined fields can be added at the audit request, claim, and appeal levels
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8. IBM Cognos Reporting Combined RAC and non-RAC data on a single report
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9. Drag & Drop Attachments
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