Why prospective audits are replacing retrospective reviews. Learn how preventing errors before submission improves cash flow and reduces denials.
OIG scrutinizes Medicare sepsis billing in 2024; hospitals must improve documentation and audits to ensure compliance before FY 2025.
Healthcare organizations face an increasingly complex audit landscape where Recovery Audit Contractor (RAC) audits and Risk Adjustment Data Validation (RADV)…
The landscape for Risk Adjustment Data Validation (RADV) audits has shifted dramatically in 2025, and Medicare Advantage Organizations (MAOs) face…
Learn how OIG scrutiny of sepsis billing affects hospitals. Discover strategies for documentation compliance, audit readiness, and navigating Sepsis-2 vs Sepsis-3 definitions
The Transforming Episode Accountability Model (TEAM) is here, and hospitals have a real opportunity in front of them. TEAM is…
Learn how to transform audit findings into effective provider education that drives lasting improvements in documentation and coding accuracy.
Revenue performance is under pressure in healthcare organizations across the country. These systems are juggling rising operating costs, staffing shortages,…
A recap of MDaudit’s 2025 annual user group meeting from Jaenna Babajane, Senior VP of Customer Experience. Our 2025 Synergy…
Our CEO Ritesh Ramesh authored an article in HIT Consultant titled “Why Retrospective Audits Are No Longer Sustainable Against Rising…
We were cited in healthcare strategist Paul Keckley’s widely read report “The 10 Healthcare Headlines you Might See in 2026.”…
We were recently featured in a Blogorama article titled “CO 109 Denial Code: A Comprehensive Guideline.” The article references our…

