ATLANTA, Aug. 28, 2012 /PRNewswire/ -- Craneware,
Inc., the market leader in automated revenue integrity solutions,
today announced that it has achieved Electronic Submission of
Medical Documentation (esMD) certification from the Centers for
Medicare and Medicaid Services (CMS). With this certification,
Craneware is now authorized to offer esMD gateway services to
provider organizations to enable the electronic submission of
medical records to review contractors.
As one of a small number of certified esMD vendors, Craneware
was certified based on its participation in the esMD Gateway
Services pilot program. To facilitate the adoption of streamlined
processes amidst increasing healthcare audits, including the
recently announced RAC Prepayment Review Demonstration phase that
focuses on specific types of claims with historically high improper
payment rates, Craneware will provide a mechanism for the digital
exchange of medical record documentation.
Craneware will enable its InSight Audit™ solution to digitally
submit medical record documentation as an esMD-certified Health
Information Handler (HIH). This capability will increase efficiency
of the audit process and assist hospitals and health networks with
the collection and retention of earned revenue to improve the
efficiency of audit defense, including Medicare Recovery Audits
(formerly RAC) and Medicare Administrative Contractor (MAC) audits.
In phase two of the esMD program, which will begin in 2013, review
contractors will also be able to electronically send Additional
Documentation Requests (ADR) to providers via approved HIH
vendors.
"CMS' esMD program increases the efficiencies around
documentation requests to ensure improper payments are handled as
quickly as possible," said Craneware CEO, Keith Neilson. "Since the early days of the RAC
demonstration project, Craneware's InSight Audit Knowledgebase has
grown and now, in becoming an esMD-certified vendor, we've expanded
the capabilities of our Audit and Revenue Recovery solutions to
support our clients' document submission needs with CMS. As a
certified esMD provider, we help clients' efficiently comply with
documentation requests and support CMS in its goal to transform
electronic communications via these gateways, particularly as esMD
promises to become the future of audit tracking."
Craneware's InSight Audit is a fully hosted, Web-based solution
that provides healthcare organizations with one central location
for managing all medical claims audits. The solution offers a full
set of features for submitting, tracking and appealing claims in
response to a range of audits, including Medicare Recovery Audits,
MAC audits, and commercial payor audits. Craneware's InSight Audit
Knowledgebase contains the latest information on best practices and
payment rules, providing valuable audit-specific content that
includes templates, checklists, and request forms.
Craneware Revenue Integrity Solutions® span four
product families: Audit & Revenue Recovery, Revenue Cycle,
Supply Management, and Access Management & Strategic Pricing.
Craneware developed the industry's first chargemaster management
solution, Craneware's Chargemaster Toolkit® has
ranked number one in the KLAS Revenue Cycle – Chargemaster
Management market category for the past six years. In 2011
Craneware's Bill Analyzer achieved number one ranking in the KLAS
Revenue Cycle – Other market category.
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.