Compliance 360 Enhances Solution for Managing Claims Audits and Appeals

Compliance 360 Claims Auditor(TM) Reduces Audit Cost Liability for a Wide Variety of Claims Audits including those in the CMS Medicare Recovery Audit Contractor (RAC) program

Compliance 360, a leading provider of Software-as-a-Service (SaaS) solutions for enterprise governance, risk and compliance (eGRC) and the most widely used solution in the healthcare industry, today announced the general availability of its claims audit solution that helps organizations manage a wide variety of claims audits and appeals, including those conducted under the CMS Medicare Recovery Audit Contractor (RAC) program.

The Compliance 360 Claims Auditor is designed specifically for industries such as healthcare, insurance, financial services and student lending where the government is taking an increasingly active role in regulatory scrutiny and enforcement. Regulated organizations in these industries are being asked with increasing frequency to open their records and demonstrate that they are in compliance with the regulatory agency's rules and reimbursement policies. The Compliance 360 Claims Auditor allows organizations to maintain one central system of record for all types of claims audits and provides management with a system of alerts, dashboards, and workflow.

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