UPDATE: ClaimTrust expanded InSight RAC’s audit tracking and reporting to cover not only the RAC program but also MIP, CERT, ZPIC and a range of other audit types as well. With these enhancements, we relaunched this fully hosted audit tool as InSight Audit.

Murfreesboro, Tennessee, August 17, 2009… ClaimTrust, a leading provider of revenue cycle tools and services for hospitals, today announced the availability of its newest product InSight RAC™, a fully hosted, web-based tool designed to help hospitals minimize RAC exposure and give them the best chance for appealing RAC denials. The built-in RAC knowledgebase includes winning arguments and appeal letter templates proven in the RAC demonstration phase to ensure best practices throughout the appeals process.

InSight RAC features specific data tracking tools with workflow and reporting capabilities designed specifically for navigating the multiple levels of RAC inquiries and appeals. The solution’s inbuilt comprehensive workflow function allows tasks to be distributed across multiple team members, departments and facilities as needed, making it easy to track each element of the process and ensure individual accountability at every step. It provides an intuitive view of all RAC entries and tracks audited claims from chart request all the way to Federal District Court (FDC) appeal. InSight RAC can be integrated with Hospital Information Systems (HIS) to simplify record lookup and payment adjustment monitoring.

“We are very excited to offer one of the industry’s first purpose-built RAC solutions powered by seasoned RAC specialists to help hospitals organize, manage, and report RAC request, response and appeal activity,” said Karen Bowden, president of consulting services, ClaimTrust, Inc, whose team won 93% of their RAC appeals and recovered $4.2 million for one hospital. “In our work with hundreds of hospitals across the country we have found that many are ill prepared for the RAC audit process, and many questions still remain about how RAC will be implemented. InSight RAC leverages our extensive experience during the demonstration phase and is designed to equip hospitals with the most up-to-date tools to ensure that they are ready for the RAC auditors when they come.”

InSight RAC and the whole InSight Revenue Cycle Solution suite is a web-based platform which is constantly updated to offer the latest information, including unpublished payor edits and payment rules, monitored by the ClaimTrust services team. As part of the InSight suite, InSight RAC is integrated with InSight Reports™ to enable hospital staff to quickly identify and trend areas of exposure and multi-level appeals. InSight RAC is also integrated with ClaimTrust’s InSight Denials™ that includes a full 835 interface and can accept custom data elements.

InSight RAC is the newest addition to ClaimTrust’s InSight Revenue Cycle Solution™, the first hospital revenue cycle system to offer comprehensive all-payor edits designed to target the key inflection points in the revenue cycle to ensure that hospitals efficiently collect all of the revenue to which they are entitled. ClaimTrust’s comprehensive revenue cycle solutions suite offers true all-payor support while providing the industry’s deepest edit library.

About ClaimTrust
ClaimTrust focuses exclusively on hospital revenue cycle tools. That singleness of purpose enables it to deliver the industry’s most effective mix of software and services designed to ensure that hospitals collect more of the revenue they are entitled to as fast as possible. The ClaimTrust InSight Revenue Cycle Solution is a suite of Web-based products that target the key revenue cycle inflection points that have the greatest impact on the bottom line. ClaimTrust provides the industry’s most frequently updated and deepest edit library; the ability to find new revenue from unbilled charges; a denials analysis engine which identifies trends and rules to generate edits that no other vendor has; and true all-payor support.