MedAlliance Health Partners | healthcare
Healthcare Network Cuts Compliance Query Time 94% with RAG Knowledge Base
Challenge
MedAlliance's compliance team was drowning. Across 12 facilities, staff generated 400+ compliance-related questions weekly—covering HIPAA regulations, CMS billing guidelines, state licensing requirements, and internal protocols. The 6-person compliance department couldn't keep up. Average response time was 48 hours, and 30% of questions went unanswered past the 72-hour SLA. The real risk wasn't just slow answers—it was wrong answers. Staff were Googling regulations, asking colleagues, or making assumptions. This led to three near-miss compliance violations in one quarter, each potentially costing $50,000-$100,000 in fines. Meanwhile, the compliance team spent 70% of their time answering repetitive questions instead of proactive audit work.
Solution
Results
-94%
Average Query Response Time
48 hours → 2.8 seconds
+42%
Questions Answered Within SLA
70% → 99.7%
AI-verified citations
Answer Accuracy (Audited)
N/A → 96.4%
+217%
Compliance Team Proactive Hours
12 hrs/week → 38 hrs/week
-100%
Compliance Violations (Quarterly)
3 near-misses → 0
“Our compliance officers went from firefighting 400 emails a week to actually doing proactive audit work. The RAG system doesn't just answer questions—it cites the exact regulation, the exact page, and when it was last updated. Our Joint Commission surveyor was genuinely impressed when staff could pull up policy citations in seconds. This system has fundamentally changed how our organization handles compliance.”
Dr. Patricia Nguyen
Chief Compliance Officer, MedAlliance Health Partners
