Case Study: Lake Regional Health System reduces audit risk and wins more appeals with Craneware's InSight Audit

Lake Regional Health System - Customer Case Study

Lake Regional Health System, a not-for-profit healthcare provider in Missouri, faced a six-fold increase in audit volume and a complex, paper-laden tracking system that was overwhelmed by constantly changing rules from multiple auditors. This situation created significant compliance risk and put the organization's revenue in jeopardy. To address this, they turned to Craneware and implemented its InSight Audit solution to manage and automate the multi-payer audit process.

By deploying Craneware's InSight Audit, the health system automated its workflows, eliminated paperwork, and gained proactive control over all audit deadlines. This solution from Craneware enabled them to overturn a significant number of denials, successfully appealing 91% of completed cases. Most importantly, the system ensured they never missed a government audit deadline again, allowing them to retain more earned income and drastically reduce their audit risk.

Lake Regional Health System

Jo Anne Gitchell

RA Coordinator