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Why You Need More Ways to Benchmark Than Just CMS Data

Medical claims and billing data is the currency that drives your audit and compliance program. The data you are generating…

5 Current Trends Shaping Revenue Integrity Adoption in Healthcare

When it comes to the financial health of today’s provider organizations, there are multiple factors converging that will continue keeping…

Innovating In a Crisis – Turning Challenges Into Opportunities

When I wrote this blog at the end of 2019 laying out our MDaudit Enterprise platform vision, I never had…

A Metrics Driven Approach to Improve Your Denial Department’s Productivity

The rate that medical claims are being denied is steadily increasing and it is trend that will cost your organization…

CommonSpirit Health’s Smooth Transition to MDaudit Enterprise

The continuing growth of regulatory compliance demands in the healthcare industry—and the heightened risk that accompanies it—is placing an enormous…

COVID’s Impact on Healthcare Organizations’ Revenue and Reimbursement: The Lessons We Learned

It has been more than a year since the start of COVID-19 pandemic. While it will be years before we…

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…