Case Study: a large midwest health system identifies 147% more risk and decreases denials by 18% with MDaudit

Large Midwest Health System Identifies 147% More Risk and Decreases Denials by 18%

A large Midwest health system, comprising five hospitals and over 40 medical clinics, faced a significant challenge after deep personnel cuts left its compliance and revenue cycle teams understaffed. The organization needed to drastically improve efficiency, identify more compliance risks like overcoding and undercoding, and reduce costly claim denials without adding resources. To address this, they turned to their existing vendor, MDaudit, and upgraded to its enterprise platform.

By implementing MDaudit’s enterprise solution, the health system empowered its team with advanced analytics and workflows, including the Revenue Optimizer module. The results were substantial: from 2021 to 2022, they increased audits by 19%, identified 3.5% in additional revenue, and uncovered 147% more risk. Furthermore, MDaudit helped the organization decrease denials by 18%, saving significant time and money while proving the compliance department's vital impact on the bottom line.