MDaudit

Home » MDaudit » Page 4
5 Ways to Use Prospective Audits to Boost Your Bottom Line

Financial health in today’s healthcare organizations is dependent on a revenue cycle that speeds claim approval and reimbursement. Amid tight…

University of Utah Health Enhances Retrospective Audits

Even before the COVID-19 pandemic dealt a significant blow to their bottom lines, hospitals, and health systems nationwide were functioning…

HCC model: Down to the Basics from Coding to Documentation

The Basics Hierarchical Condition Categories (HCC) were mandated in 1997 by the Centers for Medicare and Medicaid Services (CMS) and…

A Proactive Approach to Revenue Integrity in the COVID-19 Era – Part 2

In the first part of this two-part blog series on revenue integrity in the COVID-19 era, I discussed the long-term…

A Proactive Approach to Revenue Integrity in the COVID-19 Era – Part 1

The change brought about by healthcare’s greater reliance on technology—especially as it relates to data access and analytics—during the COVID-19…

Provider Education: Comparative Billing Reports (CBR) and the MDaudit Platform

In 2020, CMS stepped up the creation and distribution of Comparative Billing Reports (CBRs). These reports are designed to be…

Telehealth Reimbursement and the Documentation Dilemma

Telemedicine has carved out a critical niche within the response to COVID-19. Having been green-lighted for reimbursement by the Centers…

Highlights of the 2021 Changes to E/M Coding

2021 will be here before we know it and with it comes a major overhaul in the Evaluation and Management…

Published in Healthcare Business Today – Revenue Integrity in the Era of Heightened Regulatory Scrutiny

Healthcare Business Today recently published the article “Revenue Integrity in the Era of Heightened Regulatory Scrutiny” written by Hayes’ Vice…

Accelerated Adoption Amid COVID-19 Heightens Telehealth Reimbursement Risks

COVID-19—and the resulting move by the Centers for Medicare and Medicaid Services (CMS) to expand reimbursement for its use—has pushed…

Billing Compliance and Revenue Cycle Challenges in Today’s Turbulent Environment

The healthcare industry has been under duress for the past decade for a number of reasons: transition to value based…