Case Study
How Rogers Behavioral Health Used MDaudit to Build a Billing Compliance Program From Scratch and Grow Audits by 66% in Year Two
Rogers Behavioral Health needed to stand up its first billing and coding audit department and get data without waiting on IT or RCM. Using MDaudit, a five-person team built the program from scratch, grew audits 66% in year two, and increased total charges audited by 235%.
Background Summary
Behavioral health system builds its first billing and coding audit program from scratch.
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See how Rogers Behavioral Health used MDaudit to build a billing compliance program from scratch and grow audits by 66% in year two.
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The Customer Profile
Now in operation for more than 115 years, Rogers Behavioral Health is one of the country’s largest private, not-for-profit mental health and addiction services providers, with locations in 10 states. Rogers treats adults, children, and adolescents with depression and other mood disorders, eating disorders, addiction, obsessive-compulsive and anxiety disorders, and posttraumatic stress disorder, regardless of their ability to pay.
The Solution
Self-service ad hoc reporting, like billing trends and audit insights, replaced having to submit requests to IT or RCM just to pull data from the EHR.
- Built-in behavioral-health-specific resources, inpatient and outpatient E&M guidance, psych evaluation worksheets, and more, meant the team did not have to build custom risk area worksheets from scratch
- Bell curve reports let the team benchmark providers against each other and against other behavioral health providers nationally
- When a payer’s educational letter flagged one provider’s billing as out of range, the team used MDaudit to identify every provider billing those codes and audit them proactively
The Results
- Audited and educated all providers within the first four months of the department’s launch
- Increased audits by 66.04% from year one to year two, with a 235% increase in total charges audited
- Improved non-agree findings by 38%
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