TRACKer™ and TRACKer Pro are affordable turn-key solutions for providers to manage audits from Medicare, Medicaid and commercial insurance companies.
Our TRACKer™ suite of web-based solutions help providers effectively manage the time-sensitive and complex workflows needed to satisfy provider audits regardless of the source of the audit. Our clients are able to manage audit record requests, process determination letters, and image documentation as well as navigate the multi-tiered rebuttal and appeal process.
While TRACKer™ is the premiere solution available to manage all Medicare fee for service audits including the RAC program, TRACKer™ Pro is a comprehensive audit and compliance toolset designed to assist providers in managing the entire spectrum of audits including Medicare, Medicaid as well as those from commercial payers.
TRACKer features
The Platform:
- Secure ASP based delivery model allows for rapid deployment
- A fully vetted technology platform with an easy to navigate user interface
- User based security model
Case Management Functionality:
- Sophisticated workflows to provide accessibility to all departments involved in the process
- Assignment tracking lists to manage key audit activity
- Critical alerts and reminders to ensure cases are managed within appropriate timeframes
- Case prioritization and escalation based on electronic alerts to manage critical appeal deadlines
- Tracks the status of all audit requests, denials, rebuttals and appeals throughout the appeal process
Document Management and Imaging
- Fully integrated imaging suite and document repository allows images to be acquired via scanner or file uploads for all audit correspondence and documentation
- Maintains an easily accessible audit trail for all documentation
Reporting
- Real-time financial and activity status reporting
- Fully integrated with EHR and the AHA
- Dynamic and customizable reporting capability and graphical reporting package to:
- Track financial impact by monitoring over and underpayments
- Aggregate the detailed information to provide analysis and understanding of the financial impact of a hospital’s audits
- Multi-facility tracking for health systems
TRACKer Pro features
While overall functionality and the sophisticated workflow design remain the same as in our TRACKer™ product,, TRACKer™ PRO increases the user’s ability to manage, document, and react to all facets of audit activity. Enhanced features include:
- User defined toolset for maximum flexibility and usability so that audit review types can be customized to suit a wide spectrum of workflows and site configurations
- Comprehensive audit view dashboard provides a high level organizational tool of claim data aggregated based on audit encounter
- Sophisticated batch functions to improve process flows and expedite data entry tasks for claims within an audit encounter
- File attachment tool permitting storage and collaboration of any documents within a TRACKer™ PRO case
- Critical Alerts to expand notification events and provide advanced filtering at multiple levels.
Utilizing TRACKer™ PRO will allow you to step out of the structured world of RAC compliance, giving facilities the flexibility to define rules and workflows for new audit types.
benefits.
Significant benefits to TRACker™ and TRACKer™Pro clients:
- Web-based solution for total compliance program management
- Improve management of A/R and cash flow impact of all audits
- Aggregate the detailed information to provide analysis and understanding of the financial impact of a hospital’s audits
- Track financial impact by monitoring over/underpayments
- Enhance the claims process and minimize impact of future audits
- Ensure responses in a timely fashion
- Reduce manual processing and data entry
- Coordinate communication among departments
- Provide detailed reporting and tracking at all levels of the audit process
- Make available immediate access to critical data and stored documents
- Detect, analyze, report and predict trends
- ASP model allowing for minimal intervention from overtaxed IT staff