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5 Emerging Healthcare Claim Denial Trends to Know in 2024

WEBA recent article states, “Hospitals and health systems are spending an estimated $19.7 billion per year to fight denied claims.” As we enter the second quarter …

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URL: https://www.mdaudit.com/blog/5-emerging-healthcare-claim-denial-trends/

5 Steps to Change Management

WEBAccording to Gartner, about 50% of change initiatives fail, 16% note mixed results, and only 34% report clear success. However, a survey on best practices for change management …

Category: Health Go Health

Medical Claim Auditing Solutions for Compliance Professionals

WEBA Secure, Data-Driven, Intelligent Automation Solution. As an auditing or billing compliance professional, MDaudit can help you automate time-consuming tasks to conduct more …

Category: Health Go Health

A Proactive Approach to Corrective Action Planning (CAP)

WEBA corrective action plan (CAP) is a step-by-step plan of action to be followed to ensure below-par outcomes are swiftly addressed and mitigated. Healthcare …

Category: Health Go Health

Here’s Why Prospective Auditing Makes Sense for Medical Billing

WEBOur recommendation is that audits should be a 50/50 mix of retrospective and prospective auditing. For medical billing compliance staff that are 100% reliant on …

Category: Medical Go Health

Large Midwest Health System

WEBTHE CUSTOMER PROFILE. Serving 12 communities across the Midwest, this large health system offers more than 30 medical specialties. The organization comprises five …

Category: Medical Go Health

Top Trends in Medical Billing and Billing Compliance for 2022

WEBHospitals and healthcare organizations – many of which are still responding to tremendous financial losses and staffing shortages resulting from the COVID-19 …

Category: Health Go Health

Nonprofit Health System

WEBTHE SOLUTION. MDaudit provides efficient access to audit data, automates, enhances analytic capabilities, and streamlines manual billing audit processes. Identifying and …

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5 Health Information Management Best Practices for External Audits

WEBFor FY2024, the Centers for Medicare & Medicaid Services (CMS) has requested $937 million for Health Care Fraud and Abuse Control (HCFAC) funding …

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5 Under-Examined Aspects of the Healthcare Revenue Cycle

WEBThe most under-examined parts of the cycle’s front end are pre-registration, authorization (aka pre-certification or prior approval), and eligibility verification. 1. Pre …

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From Reactive to Proactive: Implementing a Risk-Based

WEBJaenna Babajane is a transformative leader, bringing over 20 years of expertise as a customer experience executive. She specializes in inpatient and payer settings, SaaS …

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7 Steps to Strategically Planning a Healthy Financial Outlook

WEBStep 1: Choose a strategic planning model to support internal analysis. Strategic planning is the formal process of setting a healthcare organization’s future course. When …

Category: Course Go Health

What Does a Proactive Medical Coding and Auditing Strategy …

WEBA proactive medical coding and auditing strategy has these core aspects: A risk-based auditing approach using technology to identify anomalous billing trends. …

Category: Medical Go Health

6 External Audit Challenges and How to Overcome Them

WEBResource Constraints: Healthcare teams often operate under resource constraints, balancing competing priorities with limited manpower, and budgetary …

Category: Health Go Health

The Two Sides of MACRA: Examining the Pros and Cons

WEBThe shock and awe of the April release of the 962-page Notice of Proposed Rulemaking (NPRM) for the Medicare Access and CHIP Reauthorization Act (MACRA) …

Category: Health Go Health

2021 Benchmark Report

WEB2021 Benchmark Report - MDaudit. The importance of having a shared goal for revenue integrity is more critical than ever, however understanding how to measure an …

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5 Focus Areas that are Shifting the Role of Billing Compliance

WEBAmid changes in healthcare delivery since the pandemic, the role of billing compliance teams has become more important in delivering value for healthcare …

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Using Data Analytics to Ensure Case Mix Index Accuracy

WEBThere are two main ways that data analytics can lead to improved CMI accuracy: continuous monitoring and benchmarking. 1. Continuous monitoring. To …

Category: Health Go Health

Rogers Behavioral Health

WEBMDaudit audit workflows and reporting offer time savings and confidence. Less than 18 months after implementing MDaudit, the Rogers Behavioral Health billing compliance …

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