Protect revenue and increase appeal success with data mining and workflow management from MedeAnalytics

• Protect revenue by reducing risk of audit take-backs

• Indentify missed revenue opportunities

• Identify new risk target areas

• Increase audit appeal success rates

• Department, management and board reporting

Compliance and Revenue Integrity (CRI) provides daily insight into compliance risk, missing charges, and coding outliers. Leveraging Medicare, Medicaid and commercial audit rules as well as MEDPAR and PEPPER benchmarks, MedeAnalytics enables healthcare providers to data mine and more proactively manage government compliance risk, protect revenue and identify missed revenue opportunities by establishing real-time compliance dashboards and proactive alerts. In addition to reducing compliance risk through the targeted improvement of coding and documentation practices as well as identifying missed revenue opportunities, CRI provides a robust workflow solution to effectively manage the multiple deadlines, documents and hand-offs of the complex audit appeal process.

The CRI solution is supported by MedeAnalytics’ business consulting services to ensure that best-practice analytics and workflow are “hardwired” into the daily processes of each hospital organization. MedeAnalytics has delivered this combination of analytics, workflow, business rules and healthcare expertise to drive significant compliance and revenue improvement across more than 150 hospital clients.