Hayes Unveils External Audit Workflow to Streamline Management of Third-Party Audit Responses

MDaudit External Audit Workflow

We’ve partnered with industry experts and our amazing customer community to develop an external audit workflow to improve cross-departmental collaboration and productivity, empowering compliance teams to meet workloads and the most demanding audit schedules.

As payers step up efforts to identify and recover abusive payments, hospitals and healthcare systems need innovative solutions to mitigate the potential threat these reviews pose to the bottom line. To address this need, Hayes, a leading health technology provider that partners with leading healthcare organizations nationwide to improve revenue, mitigate risk and reduce operating costs, launched External Audit Workflow to streamline management of external audit responses.

“The volume of external audits is growing exponentially as the Centers for Medicare and Medicaid Services and other payers seek out every dollar they can recoup from overcoded or misfiled claims,” ​​said Peter Butler, president and chief from the management of Hayes. “To protect their hard-earned revenue and reputation, healthcare organizations need a strong first line of defense – an external audit management process that is collaborative, efficient and comprehensive. This is Hayes’ goal with the launch of MDaudit Enterprise External Audit Workflow.

MDaudit Enterprise External Audit Workflow simplifies and automates time-consuming and inefficient manual processes for tracking third-party audit requests, including commercial payers, recovery audit (RAC) providers, targeted investigation and education (TPE) and Full Error Rate Testing (CERT). Its flexible process models and reporting tools provide operational efficiency and insight into potential risks and provide a consistent and repeatable audit response process.

With External Audit Workflow, hospitals and healthcare systems have access to tools that consolidate all of their external audit management activities into a secure, HIPAA-compliant SaaS platform.

The three main tools that enable external audit management include:

  • Workflow: Using standard or custom workflow templates, organizations can streamline the creation and management of a single traceable audit and monitor progress and results with ad-hoc reporting capabilities and management.
  • Task Management: Simplify coordination and tracking with customizable, organized sets of tasks that can be assigned in audits to manage ongoing activities, track due dates, and report on assignments and progress.
  • Document Management: Built-in storage in a centralized HIPAA-compliant repository allows supporting documents to be attached to audits and shared internally or externally.

“Our vision has always been to evolve MDaudit Enterprise into a single, integrated and comprehensive billing compliance and revenue integrity platform. We’ve partnered with industry experts and our amazing customer community to develop an external audit workflow to improve cross-departmental collaboration and productivity, empowering compliance teams to meet workloads and the most demanding audit schedules. Platform analytics further enable clients to track and mitigate tangible financial and compliance risks associated with external audits,” said Ritesh Ramesh, COO, Hayes

External Audit Workflow is integrated with the broader MDaudit Audit Workflow solution, which offers hospitals and healthcare systems the ability to conduct internal audits for Hospital Billing, Professional Billing and Coder Audit, enabling prospective audits and retrospectives. The addition of the External Audit Workflow makes it the only solution on the market that can handle all of a healthcare organization’s auditing needs.

To learn more about the MDaudit Enterprise External Audit Workflow solution, visit https://www.hayesmanagement.com/external-audit-management.

About Hayes and MDaudit

Hayes is a leading health technology provider that partners with leading healthcare organizations nationwide to improve revenue, mitigate risk and reduce operating costs so they can succeed in the landscape. evolving health care. MDaudit enables organizations to minimize compliance risk, improve efficiency, and retain more of their revenue stream by providing workflow automation, risk monitoring, and analytics and reporting capabilities. benchmarking, all in one integrated cloud-based platform. To learn more, visit http://www.hayesmanagement.com.

# # #

Share the article on social networks or by e-mail:

Shirlene J. Manley