Frustrated with a time-consuming, clumsy paper process, DragonPoint’s client requested an application to simplify and automate the process used to audit claims. The purpose of an audit was to help each of the client’s 300+ medical clinics use the most accurate medical procedure codes when submitting insurance claims. To help clinics implement suggestions for improvement as soon as possible, the client needed to shorten the time between filing the insurance claims and providing the audit results to their clinics. With DragonPoint’s help, they have now shortened this time from 6 months to monthly or more frequently. In addition, by bringing the claims audit process internal, they were able to reduce the outside service expense by $450,000 in their first year of using the application.
The client’s primary goals for the new system included the following.
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