Intelligent, Data-Driven Platform
Whether boosting productivity levels, optimizing operations, or reducing human error, innovative technologies are at the forefront of the MDaudit platform.
Our Innovation Principles
- Listen to the customer and market needs constantly
- Partner with our customers in validating product-market fit
- Collaborate with best-in-class strategic technology partners to enable execution
- Prioritize speed versus perfection
- Continuously iterate on solutions to make it better every day for our customers
Award Winning Innovation
Our focus on innovation has not gone unnoticed, earning MDaudit recognition by multiple prestigious organizations. These include a Gold Globee® in the Information Technology Cloud/SaaS category and the Silver Globee® in the Most Innovative Company of the Year - IT Cloud/SaaS category in the 2023 Golden Bridge Awards and being shortlisted for the 2023 SaaS Awards Best SaaS Product for Healthcare award. In 2021, our CTO was named Chief Technology Officer of the Year in the 2021 IT World Awards’ IT Software category for his work with AI. In 2020, he was awarded Silver in the 8th Annual CEO World Awards®, Executive Achievement of the Year for Information Technology Services category while the company earned a Bronze for Team of the Year in COVID-19 Business Response category.
Some Recent Innovations
Insights.ai (Generative AI)
As simple as typing in a complex question in plain English about your most at-risk providers or even what DRGs had the highest number of denials for medical necessity in a specific timeframe, Insights.ai will quickly return a response that can be pinned to a live board for later analysis or further drilling down.
SmartScan.ai
Within the External Audit Workflow module, this intelligent functionality allows users to upload payer request letters which are parsed to extract relevant attributes for case searches, enabling a much simpler search. This eliminates tedious manual work, adding an iterative case search process with more flexibility and expediting the overall resolution of audits.
esMD (Electronic Submission of Medical Documentation)
As a component of MDaudit’s External Audit Workflow, esMD allows users to have a single point of submission and tracking audit documentation, expediting response times back to review contractors. Users benefit from significant cost savings on printing, faxing, labor, and mailing while reducing errors and ensuring your documentation has reached its intended destination.
Frequently Asked Questions
Insights.ai allows end users to type a question in plain English and get business insights. This feature will enable non-technical users and executives to make strategic data driven decisions that will optimize coding, billing, and revenue outcomes with MDaudit.
Examples:
- Show me the denials year to date for Facility A by Payor B
- Show me the top 10 rendering providers who failed audits last month
Insights.ai is not a separate product but a feature that will be available as part of Audit Insights, Revenue Optimizer, Procedure Utilization, and External Audit Insights. If you have access to these modules, you will have access to Insights.ai. No additional fee is required for Insights.ai.
Yes, it is secure, and we have architected the solution to ensure that your data and generated responses are contained ‘privately’ and encrypted within our cloud infrastructure. It is not accessible to everyone on the open internet.
No, data is not shared with any third-party vendors. All data persists within the MDaudit infrastructure where all security controls have been implemented. Each customer can view and operate only on their own data sets.
Rewording the prompt (question) to be very specific or editing the search query are some flexible options available to the end users. Example: If you want answers on ‘rendering providers’ or ‘attending providers,’ be specific rather than just saying ‘providers’ in the query prompt.
Contact your Customer Success Manager who will facilitate and coordinate your requests with our Security Team.
Please contact your Customer Success Manager for group training requests. MDaudit has published eLearning modules on Insights.ai, including best practices on using the right prompts to ask questions with Insights.ai.
SmartScan.ai leverages AI/ML technology and an evolving knowledge base of payor request letters to automate and accelerate the management of external payor audits. It allows users to upload payor request letters from multiple payors in different formats, which are then automatically processed to extract appropriate patient attributes and other data elements for workflow activities. It expedites the overall resolution of audits in a quicker time frame, resulting in faster revenue retention with fewer resources. In the last 12 months, MDaudit customers have used the feature effectively to retain ~$40M in revenue.
Yes, it is fully secured with robust security controls and hosted on the Amazon Web Services (AWS), private MDaudit infrastructure with HITRUST certification.
SmartScan.ai has successfully extracted all data elements from 81% of scanned letters and partially extracted data elements from an additional 12% of letters resulting in an overall extraction rate of 93%. End-user feedback shows a 92% satisfaction rate. With more training of new incoming letters, overall accuracy incrementally improves.
SmartScan.ai is included as part of the External Audit Workflow module. No additional fee is required for SmartScan.ai.
No, data is not shared with any third-party vendor or the customer. All the data is stored privately within the MDaudit cloud infrastructure where all security controls have been implemented.
During your implementation, we will collaborate with you to train the system on your specific payor letters to ensure you are getting the very most out of the feature. If you scan a letter where the model is unable to make a full extraction, the system will automatically alert the MDaudit team that supports the module so that we can review the document for training. You are also able to provide feedback via a thumbs up/thumbs down to notify us if the extraction output is not meeting expectations.
If you are not a current MDaudit customer, we recommend you submit a security questionnaire. We will provide all the necessary documents, including architecture blueprints, for your comprehensive review. For existing customers, contact your customer success manager who can facilitate and coordinate your requests with our security team.
We will train you in the use of SmartScan.ai as part of the External Audit Workflow as well as the system itself with your organization’s letters in advance to ensure you get the very most out of the feature.
