Claims Management System Audit Tool

The claims audit tool cat is designed to be used in the claims audit departments of organizations paying healthcare claims.

Claims management system audit tool.

2019 mid march 2020. Claims management system audit tool 7 the claims management system audit workbook identifies questions that the auditor may ask the groups of employees during the audit process to assess the extent to which policies and procedures are being followed in practice. Claims management system pre licence audit tool pdf 104 4 kb rehabilitation management system pre licence audit tool pdf 108 1 kb claims management systems audit tool pdf 167 8 kb rehabilitation management system audit tool pdf 162 3 kb audit workbooks. The audit examined the university s claims management system processes and outcomes to assess whether the anu is meeting its licence conditions and is complying with the src act.

As nzs 4801 2001 occupational health and safety management systems specification with guidance for use. The audit encompassed an examination of all relevant policies and procedures as they relate to claims management and any. Cat scans claims both prepayment and post payment to identify anomalies and address them based on your business requirements. Cat streamlines the claims audit workflow and reporting process.

The claims audit tool cat is the solution that finds claims which require intervention and can streamline and automate the necessary steps to correct the errors improving process quality and payment accuracy.