AUDITRx®

Streamline the tedious audit process and effectively manage all audit activities with our innovative service AuditRx®. Backed by data analytics and advanced reporting capabilities, AuditRx allows you to track progress in payer audits, flag identified claims, determine the final audit amount from a payer perspective and much more.

Our service gives more time back to your employees by taking on the heavy lifting and follow up involved in payer audits. At the end of the audit, a final report consisting of labor hours and money spent is created to deliver accurate results and prove ROI.

AUDIT TRACKING

  • Track the status of audit events, expected follow up dates, notification emails, as well as the final amount versus the gross amount of the audit.
  • Audits can be tracked by provider and payer, or just the payer based on the type of audit.

CREATE & MANAGE EVENTS

  • Create events and add details around the type of audit, payer, and date range of claims involved.
  • Identify audit requirements, such as whether the audit is for a specific drug/NDC or GPI.
  • Flag claims based on defined criteria.

DOCUMENT LINKING

  • Upload and link any associated documents to specific claims along with the audit event for better document management.

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