Your internal audit teams are your first line of defense against identifying overpayments. Most Payers have internal teams to look for potential overpayments related to COB, DRG and high dollar in-patient claims. While the teams find millions of dollars in overpayment, their productivity and efficiency are hampered by the lack of a comprehensive platform and automation. ClaimShark’s audit module, AuditShark, is purpose built to assist Payer audit teams find overpayments and drive higher savings.
Our AuditShark module can help Payer’s audit teams with the following kinds of audits