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MDaudit

by MDaudit
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OVERVIEW

The flagship revenue integrity software platform for healthcare organizations, leveraging AI and advanced analytics to reduce compliance risk and retain revenue.

MDaudit is a comprehensive, cloud-based revenue integrity software platform designed specifically for large healthcare organizations, including hospitals, health systems, and large medical groups. The platform unifies billing compliance, coding, and revenue integrity into a single, integrated solution. It is trusted by over 70 of the top 100 health systems in the U.S. with over $1 billion in net patient revenue.

MDaudit leverages sophisticated analytics and augmented intelligence (AI) to automate the full audit lifecycle, from planning and sampling to reporting and follow-up. Key capabilities include managing all auditing types (internal, external/payer, risk-based, denials, coding quality), predictive denial risk monitoring, and revenue optimization. The platform features AI Assist, a Generative AI tool that democratizes insights by responding to natural language questions, and SmartScan.ai, which automates key aspects of the external audit workflow.

It provides robust reporting and interactive dashboards for anomaly detection, benchmarking provider performance against national and peer data, and enabling both prospective and retrospective auditing to catch errors before and after claims submission. MDaudit's agile implementation program is designed for rapid deployment, with usability in as little as four weeks, and is supported by a highly-rated customer support team (KLAS grade "A" for support quality).

RATING & STATS

User Rating
4.8/5.0
8 reviews
Customers
50+
Founded
1993

KEY FEATURES

  • Internal Audit Workflows (Automation)
  • Payer Audit Management
  • Denials Predictor & Revenue Optimizer
  • AI Assist (Generative AI for Insights)
  • SmartScan.ai (External Audit Automation)
  • Benchmarking (National & Peer Data)
  • Risk-Based Auditing & Monitoring
  • ICD-10 Compliance

PRICING

Model: enterprise
Custom pricing based on the healthcare organization's unique needs, including audit volumes, required features, and workflow complexity. Pricing is not publicly disclosed.

TECHNICAL DETAILS

Deployment: saas, cloud
Platforms: web
📱 Mobile Apps🔌 API Available

USE CASES

Reduce Billing Compliance RiskAutomate Internal and External AuditsPrevent Payment Denials and ClawbacksImprove Coding Accuracy and DocumentationUncover Revenue Leakage and Underpayments

INTEGRATIONS

EHR/EMR SystemsBilling SystemsClaims and Remit Data (837/835)Audit API Module

COMPLIANCE & SECURITY

Compliance:
HIPAAHITRUSTGDPRSOX
Security Features:
  • 🔒Single Sign-On (SSO)
  • 🔒Secure Data Storage
  • 🔒Role-Based Permissions
  • 🔒Security Auditing

SUPPORT & IMPLEMENTATION

Support: email, phone, knowledge base, dedicated customer success manager
Implementation Time: 1-4 weeks
Target Company Size: medium, enterprise
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +Trusted by 70+ of the top 100 US health systems
  • +High-quality, dedicated customer support (KLAS grade 'A')
  • +Leverages AI for advanced risk analytics and automation (AI Assist, SmartScan.ai)
  • +Rapid implementation time (as little as 4 weeks)
  • +Provides both prospective and retrospective auditing
✗ Cons:
  • -Pricing is not publicly disclosed (Enterprise model)
  • -Can feel overwhelming due to comprehensive feature set for new users
  • -Limited number of public user reviews

ABOUT MDAUDIT

BROWSE SOFTWARE IN CODING AUDITING AND COMPLIANCE