Missed revenue opportunities are everywhere—often buried in data, delayed audits, or underreported services. Leading organizations are turning to technology, like MDaudit to uncover, protect, and grow their revenue with speed and accuracy.
Here are six proven ways MDaudit is helping hospitals, health systems, and medical groups find hidden revenue and improve financial performance:
1. Identify Undercoding Instantly with Benchmarking Data
Undercoding is one of the most common causes of revenue leakage in healthcare billing. With MDaudit, you can compare your billing patterns to both CMS national data and the robust MDaudit Community. To immediately unearth the root causes of systemic undercoding issues. This comparative data helps your organization quickly detect where professional and hospital claims are being undercoded.
By flagging undercoding trends as they happen, MDaudit enables healthcare organizations to correct billing practices proactively and recover lost revenue.
2. Analyze Denials and Remittance Data with AI
Manual denial analysis is time-consuming and often too late to impact revenue. MDaudit leverages AI and advanced analytics to process massive volumes of remittance and denial data across facilities, providers, and specialties.
This functionality allows teams to:
- Pinpoint the root cause of denials
- Reduce denial rates
- Improve appeals success
- Maintain steady cash flow
- Lower days in accounts receivable (A/R)
By turning denial management into a truly data-driven process, MDaudit helps revenue cycle teams focus on high-impact strategies that drive reimbursement.
3. Audit in Real Time and Recover Underpayments
Effective healthcare auditing tools should do more than identify compliance issues—they should highlight financial impact.
During each audit, MDaudit automatically calculates underpayments and overpayments, offering visibility into how coding quality changes affect revenue. The platform’s reporting features empower teams to:
- Have a robust reporting suite identifying all claims with underpayments and overpayments.
Creating a unified approach between coding compliance and revenue recovery, making every audit a strategic asset.
4. Predict and Prevent Denials Before Submission
Imagine if you knew a claim would be denied before it was ever sent. With MDaudit’s Denials Predictor, you can.
This AI-powered denials prediction tool flags high-risk claims based on payer policies before payer adjudication, telling you why they’ll be denied and how to fix them. Armed with these insights, healthcare organizations can:
- Improve first-pass claim acceptance rates
- Avoid costly resubmissions
- Accelerate reimbursement timelines
MDaudit helps revenue cycle teams stay ahead of payer denials and optimize billing performance from the start.
5. Optimize Responses to Payer Audits to Retain Revenue
Responding to payer audits is time-sensitive, and mistakes can be costly. MDaudit’s Payer Audit Workflow automates and accelerates responses using tools like:
- esMD and eMDR integrations
- Smartscan.ai (AI with the ability to automatically read ADRs and Determination Letters, and kick off an audit response)
- Automatic task management
- Document management for a centralized repository of medical records and appeals documentation
- Centralized, trackable workflows
- Robust reporting suite and benchmarking on both governmental and commercial audit targets and outcomes
With faster turnaround times and better documentation accuracy, MDaudit enables healthcare organizations to retain more at-risk revenue and issue fewer unnecessary refunds.
6. Use AI to Query Your Data for Revenue Insights
Every healthcare organization is sitting on valuable data, but most don’t have the time to analyze it. MDaudit’s AI Assist changes that.
This conversational AI tool lets users ask natural-language questions—like “What specialties are undercoding the most?” or “What Providers within that specialty are responsible for that undercoding?” —and instantly returns insights from across thousands of audits. Leaders can quickly access:
- Strategic insights to recover revenue
- Systemic root cause of both underpayments and overpayments (by payor, facility, specialty, CPT/DRG/DXs, and much more)
It’s like having a revenue cycle analyst on call—24/7.
Empowering Healthier Bottom Lines
MDaudit empowers healthcare organizations to stop revenue loss before it starts. From real-time benchmarking and denial analysis to AI audit support and predictive analytics, every feature is designed to uncover and protect revenue while supporting compliance.
In a time where margin pressures are high and payer scrutiny is increasing, MDaudit offers the clarity, automation, and intelligence healthcare leaders need to succeed. Are you ready to start your path towards revenue recovery and optimization?
