Hayes | MDaudit, a leading healthcare technology provider that partners with the nation’s premier healthcare organizations to improve revenue, mitigate risk and reduce operating costs to succeed in an evolving healthcare landscape, is an official exhibitor at the AHIMA20 Virtual Conference. To learn more about Hayes | MDaudit or arrange a meeting with representatives during AHIMA20, please contact Kathy Rogers.
By Vasilios Nassiopoulos
In virtually every operation, there is always the tug-of-war question: Do you want it fast, or do you want it correct? This is particularly applicable when it comes to healthcare claims submission.
What’s the solution?
The answer is that neither prospective nor retrospective audits alone are sufficient to ensure an error-free claims process. However, combining both can leverage the advantages, minimize the disadvantages, and result in a powerful way to address claims timeliness and accuracy.
Billing compliance can use the insights and trends discovered in a more wide-ranging retrospective audit to target prospective audits’ specific problem areas. As a result, although auditors are only reviewing a small subset of total claims submitted, they focus their review on errors determined to be risk areas based on a much more in-depth analysis provided by the retrospective audit.
Combining prospective and retrospective audits results in a compliance program focused on improving the process to prevent inaccurate claims rather than just catching wrong claims and fixing them.
To learn more about MDaudit Enterprise and how we can help you to automate and streamline your auditing process, please visit www.hayesmanagement.com.
Register for AHIMA20
The AHIMA20 Virtual Conference is the premier educational, exhibition, and networking event for health information professionals. Whether you are seeking cutting-edge education, evaluating the latest market innovations, or are seeking new professional connections, the AHIMA20 Virtual Conference is the place to be. Register today.
Vasilios Nassiopoulos (VNassiopoulos@hayesmanagement.com) is vice president of product strategy and innovation at Hayes | MDaudit, a leading healthcare technology provider that partners with the nation’s premier healthcare organizations to improve revenue, mitigate risk and reduce operating costs to succeed in an evolving healthcare landscape.
MDaudit Enterprise, our flagship revenue integrity SaaS platform, enables organizations to reduce compliance risk, improve efficiency and retain more of their revenue stream by providing workflow automation, risk monitoring, and built-in analytics and benchmarking capabilities – all in a single, integrated cloud-based platform.
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