MDaudit™ Hospital, a new healthcare audit software, assists hospitals with RAC appeals

MEDIA CONTACT: Wendy Loveland Hayes Management Consulting wloveland@hayesmanagement.com 617.559.0404

MDaudit™ Hospital, a new healthcare audit software, assists hospitals with RAC appeals
Enables assessment of risk in real time

Newton, MA, December 7, 2009 – Hayes Management Consulting announced today the latest addition to its MDaudit suite of audit automation software. MDaudit™ Hospital enables assessment of compliance risk with the click of a mouse, internal audit review on Recovery Audit Contractors (RACs) targets, and comparison of findings to determine appeal strategy. This software was developed in partnership with University of Texas Southwestern Medical Center, University of Texas MD Anderson Cancer Center, Loma Linda University Medical Center and University of Missouri Health Care. MDaudit Hospital leverages the success of its physician practice counterpart, MDaudit Professional, which is in use in over half of the “honor roll” of top healthcare organizations as ranked by US News & World Report. Hayes is conducting a webinar demonstration of MDaudit Hospital on December 15, 2009 at 2:00 p.m. ET. Click here to register or to request a recording.

“Because MDaudit Hospital will enable us to audit more efficiently, we can increase the number of audits performed without an increase in staffing. Without the software, we would have to reduce the number of audits, or add additional FTEs,” says Beth Elwell, Executive Director of Compliance at Loma Linda University Medical Center. “MDaudit Hospital automates the prior manual processes of running reports, validating the data, choosing a sample, and writing the audit report. This feature frees up the auditors’ time to provide training and perform additional audits.” 

“We designed MDaudit Hospital to support the development of risk assessments and the appeals process rather than track the RACs when they are already there.” explains Pete Butler, President of Hayes Management Consulting. “Like MDaudit Professional, this software solution improves the quality of the auditing process, which also has a positive impact on the revenue cycle.”

MDaudit Hospital allows hospitals and medical centers to:

Proactively approach external audits

• Create audit profiles based on regulatory targets such as those of RAC and the Office of the Inspector General (OIG)
• Prioritize risk management programs on case volumes
• Defend claims with detailed documentation of findings
• Focus quality initiatives and education in areas that need improvement

Accelerate the process

• Focus on the right targets with automated case selection based on your criteria
• Access billing data directly through a user interface designed by coding auditors
• Identify outliers quickly by search for target cases based on any UB04/837 field
• Capture findings including ICD diagnoses, procedures, POA, DRGs and more – the basis for corrective action
• Easily generate reports to communicate findings to RAC appeal teams and clinicians

About Hayes Management Consulting
Hayes Management Consulting helps healthcare organizations improve profitability and efficiency through consulting services and software solutions such as MDaudit™ Professional and MDaudit™ Hospital. Hayes is ranked the Top Professional Services Firm by KLAS (2007, 2008)*, and has received Best in KLAS awards since 2005.  For more information, visit www.HayesManagement.com.

*© 2009 KLAS Enterprises, LLC. All rights reserved.
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