AI Powered Actionable Insights
MDaudit presents Denial Risks, a rich data analysis toolset powered by Augmented Intelligence to bring speed to insights and transparency on root cause of denials. Harness the power of analytics to help your organization mitigate avoidable denials and maximize revenue opportunities.
Direct Benefits Using Denial Risks
Track CMI (case mix index)
Elective surgery trends and average lag days from denial resubmission to adjudication, Manage trends and overall financial performance across payers year-over-year and year-to-date
Monitor and predict denial trends
Monitor by various functional areas such as Patient access, Coding and Compliance & Patient Financial Services over multiple years to manage revenue risks
Identify risk areas
Take corrective action by performing audits to enable cash acceleration
Detect anomalies
Detect outliers in your data that are barriers to your revenue integrity
Track HCC (hierarchical conditional category)
Track related denials to maximize value based reimbursements
A Continuum of Analytics Capabilities
Denial Risks 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 the versatility, ease of use, and depth of features of Denial Risks.
Data Visualizations and Dashboarding
With 40+ views slicing and dicing your denials in a myriad of ways (by CPT, DRG, facility, payer, specialty, and many more – including views for C-suite as well as analysts) gain immediate insights into the root cause of denials.
Drill-Down Capability
Get down to the true root cause of systemic issues and trends through insights that allow you to address, correct, and educate.
AI Assist
MDaudit’s AI Assist works with your team to transform overwhelming claims, denial remittances, audits, and financial data into simple, smart, actionable insights in seconds, not days or weeks. Users can ask complex questions —no AI expertise required—and receive instant, simple, data-driven answers. Whether identifying top denial drivers, tracking audit outcomes, or uncovering revenue opportunities, AI Assist empowers your team to mitigate risk, optimize revenue, and make smarter decisions faster than ever.
With Denials Predictor, I have a simple solution that will stop claims from going out the door without the appropriate designation. It’s insanely powerful. The technology is fantastic.
