Provider Solutions

• Executive Analytics
• Revenue Cycle Analytics
• Payer Performance Analytics

• Self-Pay Analytics
• Patient Access Intelligence
• Quality and Compliance Analytics

• Clinical Performance Manager
• Productivity Analytics

MedeAnalytics delivers healthcare performance management solutions that improve
financial, operational and clinical outcomes, with compelling return on investment and rapid time-to-value.

Learn more about:

• Client Success
• MedeAnalytics Platform

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Executive Dashboard

Quality and Compliance Analytics provides daily insight into compliance risk areas, coding trends and audit appeal workflow. Leveraging RAC, MIC and commercial payer audit rules as well as third-party benchmarks, MedeAnalytics enables healthcare providers to more proactively manage and minimize compliance risk by establishing real-time compliance dashboards and proactive alerts. In addition to reducing compliance risk through the targeted improvement of coding and documentation practices, QCA provides a robust workflow solution to effectively manage the multiple deadlines, documents and hand-offs of the complex Medicare, Medicaid and commercial payer audit appeal processes.

Quality and Compliance Analytics is delivered on a web analytics platform and supported on a daily basis by revenue cycle and compliance professionals to ensure rapid and sustainable results. With Quality and Compliance Analytics, clients have consistently seen measurable improvements in reimbursement, coding and quality metrics in key areas frequently targeted by RAC, MIC and commercial auditors.

How do healthcare providers use Quality and Compliance Analytics?

• Manage the workflow of a complex audit (RAC, MIC, or Commercial) in addition to the incoming and outgoing documents and paperwork
•  Identify risk target areas prior to audits and proactively improve HIM/coding/billing practices
• Conduct ongoing self-audits against 100% of claims with automated rules engine
• Drill down to understand the root causes of coding and documentation outliers at the facility, physician and processor levels
• Integrate PEPPER or MEDPAR data for benchmarking and facilitate analysis of coding outliers and physician performance
• Understand the financial impact of dollars at risk across a portfolio of accounts
• Improve the efficiency of internal audit initiatives by proactively pushing meaningful reports to audit staff

** HFMA staff and volunteers determined that this product has met specific criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guaranty the use of this product.

The MedeAnalytics Approach to Quality and Compliance Analytics

• Suite of clinical, financial and operational solutions for hospital management
• Strategic executive scorecards, personalized dashboards and dynamic analysis
• Healthcare advisory services, data analysis, hospital benchmarking and best practices
• Rapid configuration and ongoing healthcare support services
• Transformation of disparate data silos into a web-based, collaborative intelligence platform
• Software-as-a-Service delivery model requires no hardware, no software and no IT support