Project Description

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Carolinas Healthcare System

Robust Continuous Monitoring with ACL Analytic Exchange and Exception Management Workflow to Mitigate Risk and Identify Control Gaps

Carolinas HealthCare System (CHS) has a longstanding history of success with ACL audit analytics. Nearly a decade ago, the Audit Services department used ACL technology to analyze variances between expected and actual Managed Care Organization (MCO) payments for physician services. The project identified over US $2.2 million in potential underpayments and CHS was able to realize a significant portion of these unpaid revenues

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