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A Leading Home Healthcare Provider Goes Live with MetricStream Solutions for Audit Integrity, RAC and Issue Management

Leverages MetricStream OnDemand GRC solutions to enhance the efficiency, responsiveness and proactiveness of audit management and issue resolution

June 23, 2011 | Palo Alto, California: MetricStream Inc., the market leader in enterprise-wide Governance, Risk and Compliance (GRC) solutions, today announced that a leading provider of home healthcare services in the US, has gone live with MetricStream solution for audit integrity, RAC audit preparation and issue management. The solution enables the healthcare provider to streamline and simplify audits for patient and billing information, efficiently respond to RAC audits requests, and quickly identify and resolve audit and compliance issues across the enterprise.

The healthcare provider delivers personalized services to patients in their homes, and is renowned for its commitment to improving the quality of patient´s lives. MetricStream technology is enabling the healthcare provider to adopt a proactive and sustainable approach to audit integrity, or the auditing of patient information and billing data. The solution automates and streamlines end-to-end audit workflows, and can be accessed by up to 4,000 users across the healthcare provider´s nationwide network. User authenticated audit trails ensure that the security of confidential patient data is monitored at every step.

MetricStream solution is also helping the healthcare provider streamline and accelerate the response to RAC audit requests. The solution´s systematic workflows help complete record requests, prepare the requested data, automatically route it across various stakeholders, and manage determinations and appeals. Powerful dashboards enhance visibility into the process, enabling the status of the audit to be tracked, as well as the service that is being audited, and the associated physician and diagnosis codes.

Audit related issues, as well as issues from compliance and SOX processes, are automatically routed to the MetricStream Issue Management module. Used by almost 4,000 users, the module triggers a process of issue investigation and resolution, with automated alerts and notifications to keep the process on track.

The client leverages MetricStream´s OnDemand GRC solution offering that is redefining the way the businesses rapidly derive value from GRC. The solutions enable a robust and secure GRC management framework to be implemented quickly, and at a low costs, utilizing a state-of-the-art cloud infrastructure that supports various regulatory requirements around patient data access and privacy such as HIPAA and HITECH.

About MetricStream 
MetricStream is a market leader in Enterprise-wide Governance, Risk, Compliance (GRC) and Quality Management Solutions for global corporations. MetricStream solutions are used by leading corporations such as Pfizer, Philips, NASDAQ, UBS, SanDisk, Subway, Fairchild Semiconductor and Cummins in diverse industries such as Healthcare, Pharmaceuticals, Medical Devices, Automotive, Food, High Tech Manufacturing, Energy and Financial Services to manage their quality processes, regulatory and industry-mandated compliance and corporate governance initiatives, as well as by over a million compliance professionals worldwide via the portal. MetricStream is headquartered in Palo Alto, California and can be reached at

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