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Description
MDaudit is an innovative cloud-based solution that consolidates billing compliance, coding audits, and revenue-integrity processes for various healthcare entities, including hospitals, physician networks, and surgical centers. The platform caters to diverse audit types such as scheduled, risk-based, retrospective, and denial-focused evaluations. By automating the ingestion of data from pre-bill charges, claims, and remittance information, MDaudit efficiently initiates audit workflows, identifies anomalies and high-risk trends, and offers real-time dashboards with detailed analytics to uncover the underlying causes of billing mistakes, denials, and revenue loss. Among its features are a “Denials Predictor” designed for pre-submission claim validation and a “Revenue Optimizer” that enables ongoing risk monitoring, both of which assist organizations in minimizing claim denials, decreasing recoupments, and improving their revenue capture. Furthermore, MDaudit streamlines payer-audit management by providing a secure, centralized system for handling external audit requests and facilitating the exchange of necessary documentation, ultimately enhancing operational efficiency. The comprehensive nature of MDaudit's tools ensures that healthcare providers can maintain higher standards of compliance and revenue management.
Description
At the core of EqualizeRCM's strategy for managing healthcare revenue cycles are groundbreaking software solutions. The Optimus Suite, our RCM automation platform, is designed to seamlessly integrate with the existing systems of our clients, including EMR, PM, Clearing House, Payer, and others. This innovative platform, supported by a suite of intelligent applications, enables healthcare facilities and practices to streamline their revenue cycle processes while simultaneously lowering operational costs. With the ability to customize Optimus for your specific system, you can enhance your RCM performance significantly. Our denials and accounts receivable management system provides features such as easy claim status tracking, comprehensive dashboard analytics, and in-depth root cause analysis for denials and AR. Additionally, the platform allows for the integration of 835 and 837 data into the denials and AR management framework, facilitating swift claims analysis. Furthermore, we offer a cost-effective and customizable contract payment calculator that helps in assessing expected payments based on provider contracts, allowing for convenient comparisons to actual payments received. This comprehensive approach ensures that healthcare organizations can achieve optimal financial performance.
API Access
Has API
API Access
Has API
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
MDaudit
Founded
1993
Country
United States
Website
mdaudit.com
Vendor Details
Company Name
EqualizeRCM Services
Founded
2003
Country
United States
Website
equalizercm.com/services/software-solutions/optimus/
Product Features
Revenue Cycle Management
Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing
Product Features
Revenue Management
Competitor Analysis
Dynamic Pricing
For Airlines
For Hospitality Industry
Forecasting
Inventory Control
Price Optimization
Recommendation Engine
Yield Management