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Sentry Data Systems Announces Claims Guardian(TM)
Date:6/26/2009

DEERFIELD BEACH, Fla., June 26 /PRNewswire/ -- Today Sentry Data Systems, Inc. announced Claims Guardian(TM), a new module for its SentinelRCM(TM) Hospital Pharmacy and Revenue Cycle Management application. Claims Guardian is designed to help hospitals quickly and easily examine their bills for unusual, missing, or errant charges that may affect reimbursement from all payors.

"We believe that automatically matching actual procurement activity to billing activity is critical for establishing visibility into the financial operations of any hospital," said Travis Leonardi, President and Founder of Sentry Data Systems. "Claims Guardian leverages our core business intelligence platform that enables end-to-end data capture which is essential to managing the revenue cycle."

Building on Sentry's experience with pharmacy revenue cycle management and claims data, Claims Guardian provides visibility into hospital claims which are examined by payor, categorized by risk and presented to Finance for review. Relevant information on costs, patient classes, physicians involved, and past activity are all provided to the reviewer in one location where adjustments can be made.

Claims Guardian provides the following:

  • Stratification of hospital claims based on benchmarks and published coverage guidelines, and identification of outliers categorized by risk.

  • Identification of missed billing opportunities based on identifying "orphan" charges and mapping inconsistencies.

  • Documentation of actual invoice costs matched to submitted charges on claims.

  • Automated flagging of fluctuating reimbursements for procedures by payor, provider, and location.

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SOURCE Sentry Data Systems, Inc.
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