MDaudit Enterprise Revenue Optimizer
Actionable denial insights to maximize revenue.
MDaudit Enterprise’s Revenue Optimizer is a powerful data analysis toolset powered by augmented intelligence (AI) that brings speed to insights and transparency on root cause of denials.
Revenue Optimizer helps healthcare organizations across coding, billing compliance, and revenue integrity departments make more informed decisions and take more effective actions to avoid risk and maximize revenue. Personnel at every level of your organization—from executives to mid-level management to line level analysts and more—will benefit from Revenue Optimizer’s versatility, ease of use and depth of features. With Revenue Optimizer, organizations can remove barriers from revenue integrity to accelerate cash flow and maximize value-based reimbursement.
Plus, integration to MDaudit Audit Workflows to allow your team to create audits instantly based on the anomalies found streamlining the process of discovering and correcting errors.
Key Benefits
Manage overall financial performance across multiple payers.
Monitor and predict denial trends across functional areas.
Enable cash acceleration.
Remove barriers to revenue integrity.
Maximize value based reimbursements.
Key Features:
Executive Insights
Gain a holistic overview of your performance and demonstrate the valuable contributions of billing compliance and revenue integrity using executive reports that focus on the most important denial trends affecting compliance and revenue.
Stay up-to-date with the latest diagnosis-related group (DRG) trends of your organization with executive reporting on case-mix index (CMI) scores.
Denial Trending Analysis
Monitor and report on the most important denial trends affecting compliance and revenue, including the top reasons for denial, common denial categories, and more. Dissect and analyze denials by revenue code, DRG, patient type, procedure code, and diagnosis code to identify root causes and prevent third-party scrutiny. Focus on high-risk areas to correct issues before they occur, preventing revenue loss and reducing the time spent in accounts receivable to accelerate cash flow.
Targeted Denial Analysis
Focus attention on targeted sources for denials at both the professional and institutional levels to detect early issues and monitor the effectiveness of mitigation programs. Identify operational bottlenecks resulting in over filing related denials to prevent revenue loss. Monitor the use of specific diagnosis codes that commonly trigger denials due to medical necessity reasons. Accelerate revenue by reducing the likelihood of third-party scrutiny before it occurs.
Natural Language Search
Create your own custom reports with ease using natural language search. Custom reports can be used to instantly uncover insights for one-off research queries or pinned for future reference within MDaudit. Intuitive data visualizations can be easily shared with colleagues in just a few clicks or exported for use outside of the platform.
The MDaudit Enterprise Platform
Auditing Workflow
Accelerate productivity with automated workflows.
Billing Risk
Detect anomalies and determine root cause. Compare your risk levels to peer organizations.
Revenue Optimizer
Actionable insights to maximize revenue.
MDaudit Enterprise is HITRUST Certified
HITRUST CSF Certified status demonstrates that MDaudit Enterprise system hosted by AWS has met key regulations and industry-defined requirements and is appropriately managing risk.
MDaudit Enterprise is TX-RAMP Certified
MDaudit has achieved Level 2 certification for the Texas Risk and Authorization Management Program, or TX-RAMP. This program of the Texas Department of Information Resources provides a standardized approach to security assessment, authorization, and continuous monitoring of cloud computing services used by Texas state agencies, including university healthcare systems. Authorization and certification under TX-RAMP require cloud computing services to conform to a subset of the NIST 800-53 cybersecurity controls.
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