MDaudit Hospital: Assess Your RAC Risk

MDaudit™ Hospital enables a proactive approach to revenue protection and 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 UB04/8371 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, call 617-559-0404.