Risk-Based Auditing for Healthcare OrganizationsMedicalComplianceRiskAnalyze_

Compliance Risk Analyzer (CRA™) is a true risk-based auditing tool that delivers an effective, efficient, accurate and rapid identification of potential risk for every single provider in your healthcare organization.

The comprehensive report instantly identifies potential coding and billing compliance risks for each provider. Risk is assessed for the five most important categories — those that the auditors consider when deciding whether or not to audit your practice:

  • Frequency utilization of Evaluation& Management procedure codes
  • Frequency utilization of non-E&M procedure codes
  • RVU consumption of all procedure codes
  • Frequency utilization of modifier codes
  • Provider’s hours per year versus OIG’s FTE guidelines

Easy to understand

The key is that all CRA risk assessments are distilled to a straightforward scale of 1 to 100. You can quickly rank risk within and between categories on the high-level summary report.

Respond and Mitigate Faster with True Risk Based Auditing

Work on real issues right away – CRA creates an audit plan of the top five critical risk issues for each provider reporting a moderate to high risk. Rather than using your limited resources to search for potential risk issues by conducting initial probe audits, direct them to validating real risk. Our audit action plan is based on a statistical review of 100% of your claims — something that is virtually impossible any other way.

 

CRA was developed by The Frank Cohen Group, a division of DoctorsManagement.