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Strategic Partnerships

EHR is committed to the efficiency and accuracy of the appeal tracking process and, to this end, published an electronic data interchange. EHR has validated that an exclusive group of RAC tracking and workflow/data management solutions integrate with EHR technology and reporting. The EHR Integrated™ program facilitates the seamless exchange of appeals data and status updates between EHR and hospitals. This avoids time-intensive costly data entry, reduces the hospital's administrative processing efforts, and optimizes data integrity. To maximize your hospital's workflow and efficiency, look for the EHR Integrated™ logo when evaluating software solutions. For more information on the program, please email EHR at EHR_Integrated_Team@ehrdocs.com.

EHR has validated that the following products integrate with EHR technology and reporting. Click on the product name to learn more:

Platinum Certification Level
Full electronic integration of data and image transfers for RAC between EHR, RAC Tracking and workflow/data management solution and image management solution.

Platinum Level – All Audits
Optum Audit Management
Optum™ Audit ManagementL
Company: OptumInsight
Product: Optum™ Audit Management
Version: 3.0
Version description: The 3.0 version provides enhanced functionality which progresses beyond 3 levels of review for all audit types, synchronization on out of sequence appeals, additional data sent back on RAC Discussion level reviews, EHR & Audit Vendor added tools that help keep sequence between the two systems on appeals in addition to all of the early version offerings. The earlier version offerings include the ability to send all audit types, capability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success, the ability to receive IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: This product provides the tools needed to handle Recovery Audit Contractor (RAC) and other Medicare audits and prevent future take backs.

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MedAssets
Recovery Audit ManagerL
Company: MedAssets
Product: Recovery Audit Manager
Version: 3.0
Version description: The 3.0 version provides enhanced functionality which progresses beyond 3 levels of review for all audit types, synchronization on out of sequence appeals, additional data sent back on RAC Discussion level reviews, EHR & Audit Vendor added tools that help keep sequence between the two systems on appeals in addition to all of the early version offerings. The earlier version offerings include the ability to send all audit types, capability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success, the ability to receive IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: This tool identifies at-risk accounts, coding errors and reimbursement issues resulting from claims errors and omissions by facilitating effective communication throughout the organization to manage and track audits.

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MRO
AUDITRENDS® OnlineL
Company: MRO
Product: AUDITRENDS® Online
Version: 3.0
Version description: The 3.0 version provides enhanced functionality which progresses beyond 3 levels of review for all audit types, synchronization on out of sequence appeals, additional data sent back on RAC Discussion level reviews, EHR & Audit Vendor added tools that help keep sequence between the two systems on appeals in addition to all of the early version offerings. The earlier version offerings include the ability to send all audit types, capability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success, the ability to receive IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: This tool allows providers to manage all post-payment audit processes and enforce appropriate billing procedures and deadline management.

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Wellington
The Wellington GroupL
Company: The Wellington Group, LLC
Product: AuditNavigator™
Version: 3.0
Version description: The 3.0 version provides enhanced functionality which progresses beyond 3 levels of review for all audit types, synchronization on out of sequence appeals, additional data sent back on RAC Discussion level reviews, EHR & Audit Vendor added tools that help keep sequence between the two systems on appeals in addition to all of the early version offerings. The earlier version offerings include the ability to send all audit types, capability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success, the ability to receive IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: Beyond tracking and monitoring this tool automates historically manual operations such as pulling electronic medical records, extracting from RAC websites and monitoring and extracting data from the Medicare FISS system.

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Rycan
Denial/Audit ManagementL
Company: RYCAN
Product: Denial/Audit Management
Version: 3.0
Version description: The 3.0 version provides enhanced functionality which progresses beyond 3 levels of review for all audit types, synchronization on out of sequence appeals, additional data sent back on RAC Discussion level reviews, EHR & Audit Vendor added tools that help keep sequence between the two systems on appeals in addition to all of the early version offerings. The earlier version offerings include the ability to send all audit types, capability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success, the ability to receive IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: This tool monitors impending deadlines, tracks audit progress, and keeps all information pertaining to an audited claim together for quick reference and review.

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Allscripts Audit+
Allscripts Audit+L
Company: Allscripts
Product: Allscripts Audit
Version: 3.0
Version description: The 3.0 version provides enhanced functionality that goes beyond 3 levels of review for all audit types, synchronization on out of sequence appeals, additional data sent back on RAC Discussion level reviews, EHR & Audit Vendor added tools that help keep sequence between the two systems on appeals in addition to all of the early version offerings. The earlier version offerings include the ability to send all audit types, capability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success, the ability to receive IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: This company provides comprehensive solutions that coordinate care, engage patients and leverage robust analytics.

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IOD
RACassist®T
Company: IOD
Product: RACassist®
Version: 3.0
Version description: The 3.0 version provides enhanced functionality that goes beyond 3 levels of review for all audit types, synchronization on out of sequence appeals, additional data sent back on RAC Discussion level reviews, EHR & Audit Vendor added tools that help keep sequence between the two systems on appeals in addition to all of the early version offerings. The earlier version offerings include the ability to send all audit types, capability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success, the ability to receive IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: This tool provides varying levels of assistance to navigate the complex information requests and bewildering five level appeal process associated with Medicare’s expanded rollout of its RAC program.

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ClickON
ClickON® Recovery Audit
Defense Systems (RADs)T
Company: SSI
Product: ClickON® Recovery Audit Defense Systems (RADs)
Version: 3.0
Version description: The 3.0 version provides enhanced functionality which progresses beyond 3 levels of review for all audit types, synchronization on out of sequence appeals, additional data sent back on RAC Discussion level reviews, EHR & Audit Vendor added tools that help keep sequence between the two systems on appeals in addition to all of the early version offerings. The earlier version offerings include the ability to send all audit types, capability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success, the ability to receive IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: This system provides a workflow for accepting and tracking the audit process, an ability to move audit requests to any department and the option to scan or attach supporting documents.

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The Advisory Board Company
Revenue Optimization CompassL
Company: The Advisory Board Company
Product: Revenue Optimization Compass
Version: 3.0
Version description: The 2.2 RAC Only version provides the ability to send/receive comments & notifications on cases in addition to the early version offerings. The earlier version offerings provide codes added for DRG Validation Services & Appeal Success Indicator, the ability to receive IMAGE only transactions via EHR, and full electronic integration of data transfers for RAC audits.
Product description: This solution helps hospitals and health systems optimize revenue integrity by protecting current revenues from audit activity, identifying and recovering underpaid claims and missed charges, and systematically addressed clinical documentation issues to prevent future losses.

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Rycan
Revenue IntegrityL
Company: MedeAnalytics
Product: Revenue Integrity
Version: 3.0
Version description: The 2.2 RAC Only version provides the ability to send/receive comments & notifications on cases in addition to the early version offerings. The earlier version offerings provide codes added for DRG Validation Services & Appeal Success Indicator, the ability to receive IMAGE only transactions via EHR, and full electronic integration of data transfers for RAC audits.
Product description: This tool uses data mining methodologies similar to the ones that health plans use to conduct audits.

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Intersect Healthcare
VERACITY™ AuditMaster
Company: Intersect Healthcare
Product: VERACITY™ AuditMaster
Version: 3.0
Version description: The 2.0 RAC Only version provides the ability to receive IMAGE only transactions via EHR and also EHR Status Codes in addition to the early version offering. The earlier version offers full electronic integration of data transfers for RAC audits.
Product description: This is a tool designed to help providers respond to payer audit requests and/or internal audits.

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Cobius
Audit ManagerL
Company: Cobius
Product: Audit Manager
Version: 3.0
Version description: The 3.0 version provides enhanced functionality that goes beyond 3 levels of review for all audit types, synchronization on out of sequence appeals, additional data sent back on RAC Discussion level reviews, EHR & Audit Vendor added tools that help keep sequence between the two systems on appeals in addition to all of the early version offerings. The earlier version offerings include the ability to send all audit types, capability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success, the ability to receive IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: This tool allows providers to track audits, share documentation, and detect error patterns that lead to audits.

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ComplyTrack
ComplyTrack Claims AuditL
Company: Wolters Kluwer Law & Business
Product: ComplyTrack Claims Audit
Version: 3.0
Version description: The 3.0 version provides enhanced functionality that goes beyond 3 levels of review for all audit types, synchronization on out of sequence appeals, additional data sent back on RAC Discussion level reviews, EHR & Audit Vendor added tools that help keep sequence between the two systems on appeals in addition to all of the early version offerings. The earlier version offerings include the ability to send all audit types, capability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success, the ability to receive IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: This solution gives visibility, controls, and workflow tools needed to manage your GRC program.

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GNYHA
GNYHA TrackerL
Company: TRACKER
Product: GNYHA Tracker
Version: 3.0
Version description: The 3.0 version provides enhanced functionality that goes beyond 3 levels of review for all audit types, synchronization on out of sequence appeals, additional data sent back on RAC Discussion level reviews, EHR & Audit Vendor added tools that help keep sequence between the two systems on appeals in addition to all of the early version offerings. The earlier version offerings include the ability to send all audit types, capability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success, the ability to receive IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: This is a suite of web-based solutions that helps providers manage the time-sensitive and complex workflows, process determination letters and image documentation, and navigate the multi-tiered rebuttal and appeal process.

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Compliance 360
Compliance 360
Claims AuditorL
Company: SAI Global
Product: Compliance 360 Claims Auditor
Version: 2.2
Version description: The 2.2 version provides functionality that is enhanced to progress beyond 3 levels of review for all audit types (Non-RAC Medicare, Medicaid & Commercial) and also the ability to send all audit types (RAC, Non-RAC Medicare, Medicaid & Commercial) in addition to all of the early version offerings. The earlier versions provide the ability to send all audit types, ability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success Indicator, IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: This tool helps healthcare providers manage a wide variety of medical claims audits and appeals and enables a comprehensive approach to regulatory compliance and risk management through one enterprise-wide platform.

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InSight Audit
InSight AuditT
Company: Craneware
Product: InSight Audit
Version: 2.2
Version description: The 2.2 version provides functionality that is enhanced to progress beyond 3 levels of review for all audit types (Non-RAC Medicare, Medicaid & Commercial) and also the ability to send all audit types (RAC, Non-RAC Medicare, Medicaid & Commercial) in addition to all of the early version offerings. The earlier versions provide the ability to send all audit types, ability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success Indicator, IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: This is a web-based tool for creating an audit tracking and correspondence database.

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Platinum Level – RAC Only
Audit ControlX Axis
Audit ControlX AxisL
Company: QUADAX
Product: Audit ControlX Axis
Version: 3.0
Version description: The 3.0 version provides enhanced functionality that goes beyond 3 levels of review for all audit types, synchronization on out of sequence appeals, additional data sent back on RAC Discussion level reviews, EHR & Audit Vendor added tools that help keep sequence between the two systems on appeals in addition to all of the early version offerings. The earlier version offerings include the ability to send all audit types, capability to send/receive comments & notifications on cases, codes added for DRG Validation Services & Appeal Success, the ability to receive IMAGE transactions, and full electronic integration of data transfers for RAC audits.
Product description: This application allows providers to track and workflow all audits while providing documentation and reports for analysis.

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Plato RACTrack
Plato RACTrackL
Company: CPR Technologies
Product: Plato RACTrack
Version: 2.1
Version description: The 2.1 RAC Only version provides codes added for DRG Validation Services & Appeal Success Indicator in addition to the early version offerings. The earlier versions offer the ability to receive IMAGE only transactions via EHR, and full electronic integration of data transfers for RAC audits.
Product description: This software offers the ability to monitor, track, and trend audits.

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IRM
RACovery ToolkitT
Company: Integrated Revenue Management
Product: RACovery Toolkit
Version: 2.0
Version description: The 2.0 RAC Only version provides the ability to receive IMAGE only transactions via EHR and also EHR Status Codes in addition to the early version offering. The earlier version offers full electronic integration of data transfers for RAC audits.
Product description: This company is focused on improving all aspects of revenue cycle management while increasing efficiency, compliance, RAC Audit management, and sustainable financial stability.

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HealthPort
AudaProL
RACProL
Company: HealthPort
Product: AudaPro,RACPro
Version: 1.6
Version description: The 1.6 RAC Only version provides full electronic integration of data transfers for RAC audits.
Product description: AudaPro is a web-based solution that provides the ability to automate, manage, and track the audit process.

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Bronze Level – RAC Only
Midas+ Care Management
Midas+ Care ManagementL
(Only Midas+ v8.0 and higher)
Company: MIDAS
Product: Midas+ Care Management (Only Midas+ v8.0 and higher)
Version: 2.1
Version description: The 2.1 RAC Only version provides codes added for DRG Validation Services & Appeal Success Indicator in addition to the early version offerings. The earlier versions offer the ability to receive IMAGE only transactions via EHR, and full electronic integration of data transfers for RAC audits.
Product description: This software provides the ability to assure medical record quality, analyze data, and automates the referral process.

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T = Testing integration capability with EHR.
L = Testing with EHR is complete; currently implementing clients.




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