Client’s Challenge
The client was experiencing CMS audit failures and asked InfoWorks to develop and execute a user acceptance testing (“UAT”) process to alleviate the problem.
Case Studies
User Acceptance Testing Process for Major Healthcare Provider
Our Solution
Our team implemented a bug and defect tracking system so the client could effectively manage updates to products in test and production as well as creating a reference document enabling the business to understand product requirements and data sources.
Value Realized
With the support of InfoWorks, our client was able to close all internal audit findings and pass the next CMS audit with no findings on the Explanation of Benefits.
Competencies Utilized
- User Acceptance Testing (UAT)
- Project Management
- Business Analysis
- Systems Analysis
- Process Improvement
Project Details
In response to CMS audit failures, InfoWorks was approached to set up and lead the user acceptance testing (UAT) for the client’s Explanation of Benefits (EOB) form. InfoWorks was engaged to ensure the client’s EOB remained compliant following a complete rewrite that was rolled out across multiple geographic markets using different claims processing applications, development teams, and print vendors.
We developed a UAT process, including the use of a new defect tracking system, to test new updates to the EOB. Our team also created a database mapping template for the client, and a data dictionary, a roadmap of data sources and their uses, and documentation of all significant business rules.
With the support of InfoWorks, our client was able to close all internal audit findings and pass the next CMS audit with no findings on the Explanation of Benefits.
