Claims Management System Audit Tool

Claims management system pre licence audit workbook pdf 195 7 kb.

Claims management system audit tool.

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. With a user friendly frontend and powerful relational database backend clients use cat to facilitate pre and post payment claims audits. Cat scans claims both prepayment and post payment to identify anomalies and address them based on your business requirements. 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.

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. The audit encompassed an examination of all relevant policies and procedures as they relate to claims management and any. As nzs 4801 2001 occupational health and safety management systems specification with guidance for use. The claims audit tool cat is designed to be used in the claims audit departments of organizations paying healthcare claims.

Cat streamlines the claims audit workflow and reporting process.