Chart-Tech

Description

For over 10 years, Chart-Tech has led the field in the area of administrative compliance audits. Our innovative Web-Based solutions empower organizations with the resources they need to identify claims payments errors quickly and accurately. Our web enabled Visium™ Audit & Reporting System (ARS) provides an objective evaluation of payment integrity by repricing claims, calculating expected payment and comparing this value to actual payment. The System aggregates all salient billing and remittance data so users can quickly validate reported payment errors. Unique functionality built into ARS speeds the validation process and enhances intra-party communication necessary to resolve payment errors.

For over 10 years, we have been building innovative products that enable healthcare organizations adjudicate complex contract terms, group benefit and medical policies. And the results are clear: 99.5% of all managed care contracts we load achieve 100% electronic adjudication rate. Visium’s sophisticated contract load capabilities make the accommodation of complex contract terms easy by employing creative functionality and a friendly user interface.

When we signed one of the largest health-care organizations in the country as a customer; that is precisely the challenge we were facing. Our IT team was presented with a challenge: we are to operate in an environment where we have to identify claims while competing with other identification vendors. This “First In First Out” approach to claims audits presented a very unique set of challenges for our organization: how do you scale your process to a large national payer in order to stay competitive with other vendors? By trying to scale our warehouse and our processes from one terabyte to six terabytes we quickly realized that key components of our process would have to be changed if we wanted to meet operational and performance targets our customers expected. The volume of data created another problem for our technical staff. Even after upgrading our hardware to a state of the art Fiber SAN system, the 140 GB’s of fresh data every month was creating operational bottlenecks associated with data loading and processing.

Our case studies & white papers were developed to further our mission of improving the transparency and efficiency of the healthcare environment. The ideas and findings in these white papers represent insight and innovation our employees possess. These documents are designed to share with readers the challenges our company has encountered in its 25 years of existence and the means through which those challenges have been overcome.

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