News

Effective Denial Management Program a Key Component of Revenue Integrity

Posted in Client News Coverage on Wednesday, November 30, 2022.

The best time to rework a denied claim is before the claim is ever submitted.

According to MDaudit research, up to 80% of all denial dollars can be traced to just 20% of claims. Most of these denied claims stem from systemic issues that can be solved through retrospective diagnostics and predictive analytics.

Identifying and correcting issues that impact denials on the front end can help providers protect their revenue streams, which remain under threat from high costs, tight labor markets, and increased federal efforts to scrutinize spending more closely.

Healthcare Business Today»

The Role of RCM in Health Equity

Posted in Client News Coverage on Monday, November 28, 2022.

A strong business case exists for addressing the financial impacts of social determinants of health (SDoH) and new reimbursement models designed to emphasize health equity. Involving revenue cycle management (RCM) is necessary for any comprehensive SDoH/health equity strategy.

This is because health disparities contribute more than $93 billion in unnecessary medical care costs and more than $42 billion annually in lost productivity. Additional economic losses are a result of premature deaths. Further, according to the W.K. Kellogg Foundation, eliminating these inequities by 2050 may erase more than $150 billion in unnecessary medical care.

Healthcare IT Today»

HCA extends 30-year relationship with MEDITECH, cost of care replaces pandemic as top reason to defer care, and more

Posted in Client News Coverage on Wednesday, November 16, 2022.

Welcome to the weekly edition of Healthcare IT Today Bonus Features. This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job.

Healthcare IT Today»

MDaudit Annual Benchmark Report Reveals 82% of Claim Denials are Associated with Medicare, Increasing Pressure on Healthcare Organizations to Protect Revenues

Posted in Press Releases on Monday, November 14, 2022.

Declining patient volumes, staffing, and resource shortages, and higher third-party audit demands create an unprecedented threat to revenues.

Wellesley, MA — November 7, 2022 — With 82% of 2022 claims denials associated with Medicare, and third-party audit volume rapidly climbing, hospitals and health systems are under intense pressure to protect and grow revenues. These were among the key findings of the 2022 MDaudit Annual Benchmark Report released today by MDaudit, the healthcare technology company that harnesses the power of analytics and its proven track record to allow the nation’s premier healthcare organizations to retain revenue and reduce risk.

AGS Health Recognized as a Leader in Medical Coding Operations by Everest Group

Posted in Press Releases on Monday, November 14, 2022.

WASHINGTON, D.C. – November 10, 2022 – AGS Health, the tech-enabled revenue cycle management solution provider for major healthcare organizations across the U.S., has been named a Leader in Everest Group’s Medical Coding Operations PEAK Matrix® Assessment 2023. The company, which was recognized in the top quartile of the market, was also recognized by Everest Group earlier this year as a Leader and a Star Performer in the Revenue Cycle Management (RCM) Operations PEAK Matrix Assessment 2022.

MDaudit Annual Benchmark Report Reveals 82% of Claim Denials Are Associated With Medicare

Posted in Client News Coverage on Monday, November 14, 2022.

With 82% of 2022 claims denials associated with Medicare, and third-party audit volume rapidly climbing, hospitals and health systems are under intense pressure to protect and grow revenues.

These were among the key findings of the 2022 MDaudit Annual Benchmark Report released today by MDaudit, the healthcare technology company that harnesses the power of analytics and its proven track record to allow the nation’s premier healthcare organizations to retain revenue and reduce risk.

Electronic Health Reporter»

MDaudit Annual Benchmark Report focuses on post-pandemic revenue challenges

Posted in Client News Coverage on Monday, November 14, 2022.

With 82% of 2022 claims denials associated with Medicare, and third-party audit volume rapidly climbing, hospitals and health systems are under intense pressure to protect and grow revenues. These were among the key findings of the 2022 MDaudit Annual Benchmark Report released by MDaudit, the healthcare technology company that harnesses the power of analytics and its proven track record to allow the nation’s premier healthcare organizations to retain revenue and reduce risk.

“Our analysis suggests that the post-pandemic era has given rise to a new phenomenon for healthcare. Medical spending is more discretionary for consumers impacted by inflation, driving dramatic reductions in revenues generated by physician office and hospital visits for the third quarter of 2022,” said Peter Butler, President and CEO, MDaudit. “Exacerbating this situation is the need to successfully defend against more third-party audits amidst chronic personnel and resource shortages.”

Healthcare Purchasing News»

Corrective Action Plans: Leveling the Audit Playing Field with CAPs

Posted in Client News Coverage on Thursday, October 06, 2022.

The Centers for Medicare and Medicaid Services (CMS) has made no secret of its intentions to crack down on fraud, abuse, and waste, throwing more budget dollars into audits, heightening program integrity oversight of Marketplace plans, and exploring new methods of using advanced technology to conduct more rapid and thorough documentation reviews.

Historically, as CMS goes, so do commercial payers, putting healthcare organizations in the crosshairs of an unprecedented level of third-party external audits. To emerge relatively unscathed, organizations need to put in place proven processes that guide immediate and effective actions in the wake of adverse findings.

Electronic Health Reporter»

Harris Data Integrity Solutions: Simplifying Patient Matching with Expertise and Innovation

Posted in Client News Coverage on Thursday, August 25, 2022.

With potential outcomes such as patient identification errors, repeated care, redundant medical tests, and denied claims, patient record duplication costs healthcare systems billions of dollars each year. This critical hindrance stems from inconsistent naming conventions for patients across disparate health systems and hospitals and poor-quality data sets that lack critical identifying information on a patient. At the same time, the rise of self-registration/scheduling patient portals is hindering tech-driven patient matching algorithms from generating desired results; for instance, untrained users often incorrectly fill required fields, resulting in the aforementioned discrepancies. As a result, most hospitals today face errors in their Master Patient Index (MPI), leading to increased costs and dire complications.

CIO Review»

MDaudit Launches Revenue Integrity Suite to Proactively Mitigate High-Impact Denial Risk and Prevent Revenue Leakage for Healthcare Organizations

Posted in Press Releases on Thursday, August 25, 2022.

Wellesley, MA — August 25, 2022 — MDaudit, the healthcare technology company that harnesses the power of analytics and its proven track record to allow the nation’s premier healthcare organizations to retain revenue and reduce risk, announced today the launch of MDaudit Revenue Integrity Suite which brings fully integrated risk capabilities and supporting workflows together on a single platform.  The only end-to-end denials analytics technology designed to pre-emptively protect against revenue leakage by identifying and resolving systemic risks based on historical data and applied insights, MDaudit Revenue Integrity Suite proactively addresses the issues that lead to costly inpatient and outpatient claim denials.

EMPI/MPI: An End-to-End Approach to Patient Data Integrity

Posted in Client News Coverage on Friday, August 19, 2022.

Maintaining patient data integrity is more complicated than ever; cybersecurity threats loom, patients are taking more ownership of their care (self-registration, for example) and health system merger activity is on the rise. It can make the quest for the ever-elusive 1% maximum duplicate rate seem, at times, unattainable.

But a secure, accurate, and duplicate-free MPI/EMPI can be achieved. It just requires a multi-pronged approach to protect data throughout its journey into a health system and at every touch along the way.

HIT Consultant»

HIMSSCast: Using EHRs to confront the opioid crisis

Posted in Client News Coverage on Friday, August 19, 2022.

David Bucciferro, vice chair of the HIMSS Electronic Health Record Association and co-chair of its Opioid Crisis Task Force, demonstrates how electronic records can help providers keep their patients safe.

Healthcare IT News»

A Hybrid, Technology-Driven Approach to Overcome Coding and RCM Staff Shortages

Posted in Client News Coverage on Wednesday, August 03, 2022.

Exacerbated by pandemic-induced burnout, resignations, and even terminations1, chronic coding and revenue cycle management (RCM) staffing shortages have healthcare organizations struggling to find ways to keep revenue flowing despite a lack of qualified professionals to handle critical processes. It is a situation that has been brewing for years, as too few qualified professionals are entering professions that are expanding more rapidly than ever before.

HIT Consultant»

AHIMA, AMIA, and EHRA Release Final Report on Operationalizing the Definition of Electronic Health Information

Posted in Client News Coverage on Tuesday, August 02, 2022.

The American Health Information Management Association (AHIMA), the American Medical Informatics Association (AMIA), and the Electronic Health Record Association (EHRA) announced today the release of a final report that examines key issues related to operationalizing the definitions of “electronic health information” (EHI) and “designated record set” (DRS). The report is intended to serve as a resource to assist providers, health IT systems, health information exchanges, and health information networks in complying with the information blocking provisions of the Cures Act Final Rule.

Journal of AHIMA»

Carrot Health founder launches SPV-only health tech VC fund

Posted in Client News Coverage on Monday, August 01, 2022.

Engage Venture Partners, a Minneapolis-based venture capital firm, recently launched with a focus on early stage medical tech companies. The firm was established to decrease friction between early stage medical tech companies and their investors by bringing its investments to market via special purpose vehicles (SPVs).

MedCity News»