MDaudit Hospital: Assess Your RAC Risk
“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. It 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.” |
Beth Elwell
Executive Director of Compliance
Loma Linda University Medical Center |
MDaudit™ Hospital enables a proactive approach to risk mitigation in a time of dramatically increased government oversight (RAC, OIG, etc.). Now, revenue and compliance professionals can easily monitor risk and discover lost revenue opportunities easily, quickly and in real time.
With guidance from University of Texas Southwestern Medical Center, University of Texas MD Anderson Cancer Center, Loma Linda University and University of Missouri Health Care, Hayes designed MDaudit Hospital to empower organizations to effectively improve the overall quality of claims and the revenue cycle process. MDaudit Hospital allows you to:
Proactively approach external audits:
- Create audit profiles based on regulatory targets (e.g., RAC and 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 UB04/837I fields
- 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
Take the guesswork out of risk management. With greater insight into your organization’s performance, you have the information and the tools to reduce repayments, penalties and costly rework.
For more information or to schedule a demonstration, please contact:mdaudit@hayesmanagement.com or call 617-559-0404.
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