ATLANTA, Feb. 22, 2012 /PRNewswire/ -- Craneware,
Inc., the market leader in automated revenue integrity solutions,
today announced that the Craneware InSight Audit™ solution has
achieved platinum-level status, the highest level of integration
certification from Executive Health Resources, a leading provider
of medical necessity compliance and appeals management solutions.
The Executive Health Resources Integrated™ certification validates
that by using Craneware's InSight Audit software, hospitals will be
able to seamlessly communicate with Executive Health Resources to
send and receive denial appeals data and status updates relevant to
all governmental auditing programs such as the Recovery Audit
Program (formerly RAC).
Craneware's InSight Audit is a fully hosted, Web-based solution
providing healthcare organizations with one central setting for
managing all audits of claims. The solution offers a full set of
features for submitting, tracking and appealing claims in response
to the wide range of audits. Its proven workflow, unmatched
knowledgebase and reporting capabilities are designed specifically
for success in navigating the multiple levels of inquiries and
appeals, and creating a core audit tracking and correspondence
database that will minimize risk and exposure.
As a certified Executive Health Resources Integrated solution,
Craneware's InSight Audit is now verified to enable hospitals and
health systems to exchange Recovery Audit appeals data and status
updates seamlessly with Executive Health Resources. With this
integration, hospitals that use the Craneware InSight Audit
solution and Executive Health Resources can reduce their appeals
data processing time, maintain data integrity and gain timely
access to medical necessity appeals process status.
"By utilizing an Executive Health Resources Integrated solution
such as Craneware's InSight Audit solution, hospitals that partner
with Executive Health Resources to manage their medical necessity
denials and appeals will experience meaningful time and cost
savings in avoiding the manual transfer of data to and from
Executive Health Resources," explains Mike
Modiz, Vice President of Administrative Operations for
Executive Health Resources. "In addition, Executive Health
Resources will receive appeals data and provide status updates more
quickly. This allows for immediate action by our appeals management
team and more timely access to the status and result of each appeal
by hospital clients."
"The certification of our InSight Audit solution underscores
Craneware's dedication to hospital and health systems' revenue
integrity," said Keith Neilson, CEO
of Craneware. "The Executive Health Resources Integrated
certification could not have come at a time of greater significance
in healthcare. With CMS forecasting increased scrutiny from
Recovery Auditors in 2012, it is vital that healthcare
organizations minimize the risk to their revenue, ensuring their
earned reimbursement is both received and retained."
Craneware Revenue Integrity Solutions™ span four product
families: Audit & Revenue Recovery, Revenue Cycle, Supply
Management, and Access Management & Strategic Pricing. More
than a quarter of all registered U.S. hospitals use Craneware
software.
About Executive Health Resources
Executive Health Resources, Inc., The Physician Advisor
Company™, is a leading provider of medical necessity compliance
solutions to more than 2,000 hospitals and health systems across
the country. Endorsed by the American Hospital Association and Peer
Reviewed by the Healthcare Financial Management Association,
Executive Health Resources' comprehensive solutions are delivered
through expert Physician Advisors who are specially-trained in
Medicare/Medicaid rules and regulations relating to medical
necessity and have real-time access to Executive Health Resources'
database of more than 4 million validated medical necessity
reviews. Learn more about Executive Health Resources at
www.ehrdocs.com.
About Craneware
Craneware (AIM: CRW.L) is the leader in automated revenue
integrity solutions that improve financial performance for
healthcare organizations. Craneware's market-driven, SaaS solutions
help hospitals and other healthcare providers more effectively
price, charge, code and retain earned revenue for patient care
services and supplies. This optimizes reimbursement, increases
operational efficiency and minimizes compliance risk. By partnering
with Craneware, clients achieve the visibility required to
identify, address and prevent revenue leakage. To learn more, visit
craneware.com and stoptheleakage.com.
SOURCE Craneware, Inc.