MDaudit™ Professional: Audit Automation for Physician Practices

Compliance monitoring and auditing are an essential part of ensuring the integrity of your institution's clinical billing practices. Performing a risk assessment and identifying the areas most at risk are time consuming and labor intensive processes. Fortunately, improving audit efficiency while increasing audit quality are not mutually exclusive goals. MDaudit Professional was developed to help healthcare organizations improve audit productivity, increase audit quality and enhance provider education.

By automating the administrative duties of compliance auditing using strategic, risk-based audit methodology, MDaudit Professional will:

Increase audit productivity: MDaudit Professional frees compliance staff from time-consuming administrative tasks that do not directly reduce risk. It automatically:

• Maintains a risk-based audit schedule for all providers
• Extracts prospective and retrospective charge data from your billing system
• Selects a case sample based on a flexible case profile defined by the auditor
• Generates and tracks refund/re-bill requests and amounts
• Produces standard provider and management reports

The result is that more audits are conducted in less time, improving your ability to mitigate risk.

Quickly target areas of concern: Risk-based audit scheduling functionality means that MDaudit Professional allows you to quickly target high-risk providers. Case selection is driven by flexible case profile rules, enabling your organization to focus on the procedures and areas most at risk. A weighted scoring and standardized commenting system helps to ensure consistency by pinpointing problems and providing corrective instructions. The result is that risk areas are identified more quickly, and emerging trends can be pre-empted with corrective action.

Improve reporting capabilities and consistency: A variety of professional reports illustrate trends with a click of the mouse. These reports may be used to track provider compliance over time, produce evidence of improvement to defend against CMS actions, and report on multiple practices at once with combined reporting. The reports are professional and user-friendly and encourage consistency among auditors.

Monitor audit status across department: With MDaudit Professional, audit productivity and status is easily assessed in real time. Managers can determine how many audits are in progress, what actions are outstanding, and ascertain whether processes need further refinement to reduce bottlenecks and further increase productivity.

Allow staff to focus on value-added activities: Endemic in the compliance community is the lack of time and resources to sufficiently educate physicians on correct coding procedures – usually because so much time is spent performing labor-intensive, manual processes. MDaudit Professional increases productivity so that your staff members' time can be allocated to physician education and other activities that provide direct value.

To learn more about MDaudit Professional, to arrange a product demonstration, or to receive a Return on Investment Analysis, please contact:mdaudit@hayesmanagement.com