In this 7-part series, we will explore the tactics you can employ to build and optimize a revenue integrity team designed to create measurable value for your organization. You can find the other parts of the series here.
A client shared with us that prior to their adoption of MDaudit, it used to take the team 2 days each quarter to create E&M utilization curve for their providers. That is a huge amount of time to spend on a single task. So why did they do it? Because it is easier to understand billing performance when you can graphically represent what has happened.
As the sophistication of your revenue integrity team evolves, so does the need for better visualization tools that help you identify areas you need to focus your efforts. Turning mountains of unwieldy charge and remit data into simple to understand bar charts and line graphs helps an organization to quickly identify billing anomalies or trends they need to address. Traditionally, healthcare organizations were reliant on their IT departments to pull the data required for this reporting. This process could take weeks, and if you were missing a critical piece or needed to dig deeper, you had to start a new request for data. Modern auditing and revenue integrity platforms such as MDaudit automatically pull in all charge and remit data making it easy to generate graphs and charts instantly and showcase the most critical information on easy-to-use dashboards.
Let’s consider the example of the E&M utilization bell curve. The bell curve is valuable for helping to show providers where their billing patterns fall outside of the norm. Beyond its utility as an educational tool, it also helps your auditors identify at-risk providers they should consider doing a focused audit on.
Watch this short video to learn how MDaudit generates E&M utilization curves and bubble charts to help identify risk.
To learn more about the data visualization tools available within MDaudit, watch our on-demand webinar “MDaudit Analytics and Benchmarking Demonstration.”
