Elevate Your Coding Accuracy with MDaudit
A People-Centric Approach and Holistic Solution
MDaudit offers sophisticated analytics and augmented intelligence (AI) to offer actionable insights for at-risk coder populations while providing compliance teams with the tools necessary to support coding initiatives. Enhance synergy between your organization’s teams and create seamless coding efficiency, with successful long-term outcomes.
Based on MDaudit data, 56% of coder audits fail and 22% of cases audited are found unsatisfactory. Scrubbing all charges for coding accuracy does not include the human element necessary for optimizing future outcomes. A healthy dialogue between auditors and coders is vital for more solid financial outcomes.
Direct Benefits of Using Coder Workflow
MDaudit believes in
keeping humans in the loop to ensure synergy between auditors and coders
Enhance collaboration
between auditors and coders via a review and rebuttal process
Robust
prospective and retrospective audit workflows
Comprehensive
dashboarding, reporting, insights, tracking, and trending on coder accuracy and integrity
Holistic
coder performance evaluation including the root cause of coding-related denials (e.g., medical necessity)
Create educational reports
and corrective action plan capabilities (CAP) that can be used to improve coder efficacy and compliance
Robust Workflows
Our platform offers both prospective and retrospective coder audit workflows. These workflows not only enhance transparency between auditors and coders but also provide robust reporting, insights, tracking, and trending capabilities. Prospective coder audit workflows are a critical component in significantly increasing first-pass pay rates and reducing days in accounts receivable (AR).
Holistic Performance Evaluation
MDaudit takes a comprehensive view of coder performance. We don’t just stop at analyzing claims for coding accuracy; we also analyze denial statistics that can be directly linked to individual coders. This holistic approach ensures a thorough understanding of your coding team’s strengths and areas for improvement.
Cross-Functional Synergy
HIM/Coding plays a vital role in patient satisfaction, outcomes, revenue cycle management, and profitability. How this workflow impacts billing compliance and revenue integrity requires insights specific to each coder. MDaudit is designed for cross-functional teams and collaborative workflows. Coders are often segmented from other teams, Coder Workflow is designed to meet the unique needs of medical billers and coders, amplifying their value in analogous workflows.
Scheduled Audit Planner
Designed to streamline and automate your audit scheduling processes by providing a robust set of tools for audit scheduling and creation. The Scheduled Audit Planner allows you to define how different coder audits will be scheduled based on previous audit results.
You cannot look at everything. We all know that and sometimes you don’t know what you just don’t know. We’re still seeing constant changes in coding and regulations — it’s astonishing how much it continues to change.
