Overview
MDaudit Enterprise is software that helps healthcare organizations identify and correct billing errors, thereby strengthening revenue integrity. While it offers powerful features, the platform can feel overwhelming due to its wide range of tools. However, once you get the hang of it, MDaudit helps teams catch coding issues early.
Overall Rating
Based on 6 users reviews
5
Rating Distribution
Positive
100%
Neutral
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Negative
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Starting Price
Custom
MDaudit Enterprise Specifications
Policy and Document Management
Risk Assessment and Mitigation
Regulatory Compliance Tracking
Audit Management
What Is MDaudit Enterprise?
MDaudit Enterprise is a platform built to support hospitals, health systems, and large medical groups with billing compliance and revenue integrity. It lets users manage internal and external audits in one place, predict denial risks, and monitor coding quality. MDaudit Enterprise features automated workflows and billing risk analytics to reduce manual work and speed up the audit process. It’s especially useful for compliance teams, HIM professionals, and revenue cycle departments.
MDaudit Enterprise Pricing
MDaudit Enterprise Integrations
MDaudit Enterprise software integration details are not mentioned on its official website.
Who Is MDaudit Enterprise For?
MDaudit Enterprise is ideal for a wide range of industries and sectors, including:
- Hospitals and health systems
- Integrated Delivery Networks (IDNs)
- Physician groups
- Ambulatory Surgical Centers (ASCs)
- Revenue Cycle Management Teams
- Health Information Management (HIM) Departments
- Compliance and audit professionals
Is MDaudit Enterprise Right For You?
MDaudit Enterprise might be a great fit if you're part of a healthcare team looking to simplify billing compliance and reduce audit pressure. It works best for hospitals and physician groups that want to catch issues early. One of its standout features is billing risk intelligence, which helps identify problems before they affect claims.
Still doubtful if MDaudit Enterprise is the right fit for you? Connect with our customer support staff at (661) 384-7070 for further guidance.
MDaudit Enterprise Features
MDaudit’s internal audit workflows automate the full audit lifecycle, from planning and sampling to reporting and follow-up. Standardized forms, random or risk-based selections, and real-time dashboards help teams maintain consistency, speed up review times, and track progress clearly. It scales audit work without needing more staff.
This feature helps manage external payer audits efficiently by centralizing all cases in one platform. It tracks documentation, payer correspondence, deadlines, and responses. Standardized workflows and reporting ensure nothing falls through the cracks and help teams coordinate internally to resolve audit findings faster.
Billing Risks identifies errors, anomalies, and trends in procedural billing that could affect revenue. It uses analytics to highlight outliers and monitor claims across different services, payers, and facilities. This gives teams insight into high-risk areas so they can fix issues before audits or denials occur.
The Revenue Integrity Suite brings together retrospective denial data with predictive rules to identify and prevent issues before claims are submitted. It uses AI-powered detection and analytics to find documentation or coding issues and integrates those insights into audits and corrective workflows.
Revenue Optimizer uses AI-powered analytics to explore denial trends, root causes, and high-dollar revenue drivers. With more than 40 dashboard views, CPT, DRG, payer, facility, and more, it identifies where to act. Seamless integration with audit workflows allows users to launch reviews based on anomalies found.
Denials Predictor adds a pre‑payment validation layer to catch potential denials before claims are sent. It applies payer-centered rules to high-value charges, like specialty drugs or implants, and flags risky claims, helping reduce appeals, write-offs, and delays proactively.
MDaudit’s Coder Workflow enhances coding quality checks by integrating coder review tools directly into the audit platform. It includes automated audit worksheets, collaborative dashboards, task tracking, and a HIPAA-compliant document repository. Coders can receive real-time feedback, review peer audits, and follow corrective actions.