Case Study: a Large Midwest Academic Medical Health System boosts case accuracy and reduces compliance risk with MDaudit

A Large Midwest Academic Medical Health System Boosts Case Accuracy Rate by 92% During Staff Shortage and Major Risk-Based Expansion

A large Midwest academic medical health system faced a significant challenge when pandemic-related staff shortages coincided with the need for expanded risk management. With a reduced team, its compliance and audit departments struggled to maintain necessary audits, manage denials, and keep up with important coding rule changes for physicians. They turned to their existing vendor, MDaudit, to help them do more with less and refocus their efforts on proactive risk analysis.

By leveraging MDaudit's platform for risk management, intelligent analytics, and interdepartmental collaboration, the health system automated key processes like denial identification. The solution from MDaudit enabled them to achieve spectacular results, including a 92% increase in case accuracy and a 68% reduction in compliance risk. Despite a 12.5% decrease in staff, they also increased the total charges audited by 13% and significantly reduced overcoding.