Case Study
How Eskenazi Medical Group Used MDaudit to Triple Provider Audit Coverage and Boost Monthly Audits from 4 to 34.5
Eskenazi Medical Group’s newly launched professional billing revenue integrity program relied on manual, spreadsheet-based audits that would have taken three to four years to cover its roughly 500 providers. The team needed a faster, more accurate way to audit its full provider population.
Background Summary
New professional billing revenue integrity program moves off spreadsheets and triples provider coverage.
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See how Eskenazi Medical Group used MDaudit to triple provider audit coverage and boost monthly audits from 4 to 34.5.
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The Customer Profile
Serving central Indiana since 1859, Eskenazi Health is one of the largest healthcare systems in the U.S. Eskenazi Medical Group (EMG), a 501(c)(3) aligned with Eskenazi Health, staffs many of the system’s providers and partners with the Indiana University School of Medicine through a faculty practice plan for teaching and research. EMG providers offer care in Eskenazi’s 333-bed hospital and across more than 30 area primary and mental health sites, including numerous federally qualified health centers (FQHCs).
The Solution
With MDaudit, audit volume per team member grew from an average of 4 audits a month to nearly 40, letting the team move from spot-checking a small sample to covering its full provider population.
- Automated task tracking and reporting replaced messy, time-consuming spreadsheets with audit packages for providers, curated audit reports, and management reports for leadership
- Easy-to-read audit reports and follow-up education improved how providers responded to findings
- With full audit coverage now manageable, the team has freed up bandwidth to expand into denials and risk analytics
The Results
- Increased providers audited annually from 163 to 490
- Increased completed audits per team member from an average of 4 a month to 34.5
- Audited more than $1M in total claims, identifying both overpayments and underpayments
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