Case Study: Leading Home Healthcare Providing Company fortifies audit and compliance and secures confidential patient information with MetricStream

A Leading Home Healthcare Provider Fortifies Audit and Compliance While Maintaining Utmost Security of Confidential Information

A leading U.S. home healthcare provider delivering nursing, therapy and hospice services faced mounting regulatory complexity—especially permanent Medicare Recovery Audit Contractor (RAC) reviews—and struggled to securely track vast volumes of confidential patient records. Reliant on manual, spreadsheet-driven processes and fragmented communications, the company found audit integrity, billing adjustments and timely collaboration across teams increasingly difficult.

MetricStream implemented a centralized, web-based GRC platform that automated audit integrity, RAC audit management, issue tracking and compliance management with role-based portals, workflows, document management and dashboards. The solution improved RAC preparedness, reduced improper payments and denied claims, strengthened data security and cross-team collaboration, and delivered real-time visibility into audit and compliance status.