Healthcare

The healthcare industry faces a myriad of regulatory compliance requirements, depending upon their status (i.e., public, private, non-profit, Medicare providers, etc.). You may be dealing with Privacy issues (i.e., HIPAA, PCI-DSS), outside auditing (e.g., Recovery Audit Contractors “RAC“) or just general ICFR (e.g., SOX). Whatever segment of the healthcare industry your organization falls, it is fairly certain that you are juggling multiple compliance and tracking needs affecting multiple stakeholders (internal and external).

It is both inefficient and potentially high risk to place your reliance for this complex compliance framework on a manual spreadsheet-based platform. Particularly for time-sensitive response activities (e.g., responding to a RAC audit claim records request), real-time tracking and due date notifications is critical to avoid a default ruling. Miss a deadline, lose the right to appeal.

With the DoubleCheck™ suite, you will have the ability to manage to the Center for Medicare (CMS) recommendations, including:

• Automatically record RAC requests into software.
• Track all RAC Audits from the receipt of the RAC request through the five levels of appeals process.
• Escalate unresolved issues to higher level of management (up to Board of Directors) before appeals due dates.
• Maintain all data for each request in one central location, including attachments and/or links to a central repository.
• Settle appeals and move files to next level for control.
• Provides dashboard and custom reporting for users and management.

DoubleCheck is relied upon by Regional Medical Centers, Pharmaceutical providers and even used by CMS’ outside auditors to test and audit healthcare providers who bill Medicare.

If you are seeking a solution for your healthcare organization that can be configured to meet your specific needs without undue development and implementation costs, please fill out the form to the right and we will be happy to speak with you.

Key DoubleCheck Healthcare Clients Include:

Have More Questions About Our GRC & Audit Platform?

Don’t hesitate. Contact us today at (770) 565-8616.