How can Quality and Compliance Analytics help you?
Establish transparency into Medicare payment variances to minimize impact of RAC audits
Identify potential coding variances based on CMS and state benchmarks
Monitor high-risk audit metrics with the automated rules engine
Collaborate online with colleagues to ensure a seamless audit process
Proactively push meaningful reports to audit staff to improve the efficiency of internal audit initiatives
Quality and Compliance Analytics (QCA) 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.
