Press Releases

MDaudit Annual Benchmark Report Reveals 82% of Claim Denials are Associated with Medicare, Increasing Pressure on Healthcare Organizations to Protect Revenues

Posted in Press Releases on Monday, November 14, 2022.

Declining patient volumes, staffing, and resource shortages, and higher third-party audit demands create an unprecedented threat to revenues.

Wellesley, MA — November 7, 2022 — With 82% of 2022 claims denials associated with Medicare, and third-party audit volume rapidly climbing, hospitals and health systems are under intense pressure to protect and grow revenues. These were among the key findings of the 2022 MDaudit Annual Benchmark Report released today by MDaudit, the healthcare technology company that harnesses the power of analytics and its proven track record to allow the nation’s premier healthcare organizations to retain revenue and reduce risk.

AGS Health Recognized as a Leader in Medical Coding Operations by Everest Group

Posted in Press Releases on Monday, November 14, 2022.

WASHINGTON, D.C. – November 10, 2022 – AGS Health, the tech-enabled revenue cycle management solution provider for major healthcare organizations across the U.S., has been named a Leader in Everest Group’s Medical Coding Operations PEAK Matrix® Assessment 2023. The company, which was recognized in the top quartile of the market, was also recognized by Everest Group earlier this year as a Leader and a Star Performer in the Revenue Cycle Management (RCM) Operations PEAK Matrix Assessment 2022.

MDaudit Launches Revenue Integrity Suite to Proactively Mitigate High-Impact Denial Risk and Prevent Revenue Leakage for Healthcare Organizations

Posted in Press Releases on Thursday, August 25, 2022.

Wellesley, MA — August 25, 2022 — MDaudit, the healthcare technology company that harnesses the power of analytics and its proven track record to allow the nation’s premier healthcare organizations to retain revenue and reduce risk, announced today the launch of MDaudit Revenue Integrity Suite which brings fully integrated risk capabilities and supporting workflows together on a single platform.  The only end-to-end denials analytics technology designed to pre-emptively protect against revenue leakage by identifying and resolving systemic risks based on historical data and applied insights, MDaudit Revenue Integrity Suite proactively addresses the issues that lead to costly inpatient and outpatient claim denials.

Mobile OptiX’s Caregiver Program Benefits from Generous Modern Optical International Eyewear Donation

Posted in Press Releases on Wednesday, May 18, 2022.

TAMPA, Fla. – (May 18, 2022) – The eye health of caregivers is just as important as the patients for whom they care. That is why Mobile OptiX, an innovative startup that’s revolutionizing access to high quality eye care with its state-of-the-art mobile vision practice, launched its Caregiver Program to provide caregivers and their families with low-cost eye examinations and glasses. Now, during Healthy Vision Month, Mobile OptiX is pleased to announce that Modern Optical International is supporting the program’s launch by donating up to 1,000 pairs of its high-quality, fashionable frames.

Hayes Unveils External Audit Workflow to Streamline Third-Party Audit Response Management

Posted in Press Releases on Tuesday, February 08, 2022.

The tool consolidates all external audit management activities into a secure, HIPAA-compliant SaaS-based platform powered by MDaudit Enterprise.

WELLESLEY, Mass. – Feb. 8, 2022 – As payers step up efforts to identify and recoup improper payments, hospitals and health systems require innovative solutions to mitigate the potential threat these reviews pose to the bottom line. To meet this need, Hayes, a leading healthcare technology provider that partners with the nation’s premier healthcare organizations to improve revenue, mitigate risk and reduce operating costs, has launched External Audit Workflow to streamline management of external audit responses.

“The volume of external audits is rising exponentially as the Centers for Medicare and Medicaid Services and other payers search for every dollar they can recover from over-coded or otherwise improperly filed claims,” said Peter Butler, president and CEO, Hayes. “To protect their hard-earned revenues and reputations, healthcare organizations need a strong first line of defense – an external audit management process that is collaborative, efficient, and comprehensive. That is Hayes’ goal with the launch of MDaudit Enterprise External Audit Workflow.”

Mobile OptiX Unveils State-of-the-Art Mobile Vision Care Practice

Posted in Press Releases on Thursday, February 03, 2022.

TAMPA, Fla. – (February 3, 2022) – State-of-the-art eye care delivered to you. Seeking to address the gap in eye care for long-term care (LTC) patients, innovative startup Mobile OptiX is revolutionizing access to quality eye care with its state-of-the-art mobile vision practice. Offering a full spectrum of both optometry and ophthalmology services and treatments throughout Central Florida, Mobile OptiX brings highly qualified eye care professionals directly to the facility, where they leverage the advanced diagnostic technologies within its self-contained mobile clinic to provide quality eye care that helps prevent unnecessary vision loss.

Hayes’ Healthcare Audit and Revenue Integrity Analysis finds COVID-19 Claims and Bundling Errors Driving Denials

Posted in Press Releases on Thursday, October 28, 2021.

Wellesley, MA — October 28, 2021 –– Bundling errors continue to wreak havoc on hospital bottom lines in 2021, causing 34% of inpatient charge denials with an average value of $5,300 each. That’s according to an auditing and revenue integrity report analyzing more than $100 billion worth of denials and $2.5 billion in audited claims released today by Hayes, makers of MDaudit, the industry’s leading integrated auditing, billing compliance and revenue integrity platform for the nation’s premier healthcare organizations.

Healthcare Auditing and Revenue Integrity: 2021 Benchmarking and Trends Report shares the findings of Hayes’ review of professional and hospital claims audited in MDaudit Enterprise during the first 10 months of 2021. Internal auditors identified a significant number of concerns in the claims they reviewed, with approximately 33% of the audits resulting in “disagree” findings. The concerns centered primarily around disagreements between procedure codes and diagnoses.

Harris Healthcare’s Data Integrity Solutions, RightPatient Partnership Closes the Gap on Efficient, Accurate and Secure Patient Identification

Posted in Press Releases on Monday, September 20, 2021.

CENTENNIAL, Colo. – September 20, 2021 – Harris Healthcare’s Data Integrity Solution Business Unit – which includes patient data integrity powerhouses Just Associates, Inc., and QuadraMed® Corporation – have entered a strategic partnership with RightPatient® to integrate biometric patient identification into its existing suite of master patient index (MPI) management solutions. Doing so provides important protections against front-end contamination of the MPI and EMPI and helps eliminate the patient misidentification and safety issues created by “dirty” patient identification data. This is especially important now as spikes in remote patient registrations due to COVID-19 have led to a sharp increase in duplicate patient records.

Hayes Expert Explores the Root Causes of Climbing Claims Denials Rates and Performance Improvement Solutions at AHIMA21

Posted in Press Releases on Monday, September 20, 2021.

Wellesley, MA — September 20, 2021 — Hayes, makers of the industry’s leading integrated auditing, billing compliance and revenue integrity platform for the nation’s premier healthcare organizations, announced today that Vasilios Nassiopoulos, CPC, CCO, will present Leveraging Denial Trends to Identify Risks and Prevent Audits at the AHIMA21 Virtual Conference. The presentation, which explores the catalyst behind rising claims denials and how healthcare organizations can reverse the trend, takes place on Sept. 22 at 11:45 a.m. ET.

Just Associates, QuadraMed Power Harris Healthcare’s Data Integrity Solutions

Posted in Press Releases on Thursday, September 02, 2021.

CENTENNIAL, Colo. – September 2, 2021 – Two top data integrity powerhouses have joined forces to bring healthcare organizations an unmatched level of innovation and expertise to solve the industry’s toughest data integrity challenges. As part of Harris Healthcare’s Data Integrity Solutions (DIS) Business Unit, Just Associates, Inc., andQuadraMed® Corporation are now partnered to deliver the advanced services and technology solutions needed to address the broad spectrum of challenges associated with patient matching and data integrity.

“Together, these highly experienced organizations will provide clients with best-in-class, industry-leading data integrity services and software that address key health information issues by reducing potential duplicate medical records and minimizing the ongoing cost of maintaining quality patient data,” said Lora Hefton, executive vice president, Harris’ DIS Business Unit.

Electronic Health Record Association Announces FY22 Leadership and Priorities

Posted in Press Releases on Thursday, September 02, 2021.

CHICAGO – September 2, 2021 – The Electronic Health Record (EHR) Association announced the results of its annual Executive Committee elections for terms beginning July 1, 2021. The EHR Association is a trade association of nearly 30 companies that serve most of the nation’s hospitals and ambulatory care organizations using electronic health records (EHRs) and other health information and technology to deliver high quality, efficient care to their patients.

Hans Buitendijk, Director of Interoperability Strategy with the Cerner Corporation, continues as Chair of the Executive Committee, which establishes the Association’s guiding principles and develops and implements strategic plans. David Bucciferro, Senior Advisor at Foothold Technology, returns as Vice Chair.

Carrot Health Joins 2021 Inc. 5000 List of Fastest-Growing Private Companies

Posted in Press Releases on Thursday, August 26, 2021.

MINNEAPOLIS — August 26, 2021 – Carrot Health, a leading provider of healthcare solutions powered by consumer and claims data, ranked among the top 400 fastest-growing private companies in its inaugural appearance on the 2021 Inc. 5000. The company revealed today that it ranked No. 311 on the annual list with a three-year revenue growth of 1481.5% – an announcement that comes on the heels of Carrot Health’s acquisition by Unite Us, the nation’s leading technology company connecting health and social care services.

“Our growth is a direct result of the shift in the nation’s focus toward creating health equity and improving equitable access to care, which reflects Carrot Health’s long-time mission to help shape a future without health disparities in which everyone nationwide is able to lead their healthiest lives,” said Kurt Waltenbaugh, CEO of Carrot Health. “To be recognized among the elite companies that make up the top 500 fastest-growing private companies is a testament to the dedication and perseverance of the entire Carrot Health team.”

hc1 Opens Registration for 2021 Precision Health Virtual Summit

Posted in Press Releases on Tuesday, July 13, 2021.

(INDIANAPOLIS, July 13, 2021) --  hc1, the leader in critical insight, analytics, and solutions for precision health, today announced it will host the second annual Precision Health Virtual Summit, a free, two-day virtual event taking place Aug. 31- Sept. 1, 2021, in partnership with Becker’s Healthcare. The event will bring together healthcare leaders and experts to focus on implementing precision health practices into care delivery, bringing the benefits of precision health to all patients.

The 2021 Precision Health Virtual Summit serves to showcase how advances in data-driven care by Precision Health Insight Networks (PHINs) are reducing overwhelming complexity in our care delivery system. Historically, the information clinicians required to deliver personalized, precise care was locked away in disconnected databases, buried in medical journals and isolated in multiple patient data silos. PHINs enable healthcare providers to uncover actionable insights in real-time to identify the right testing and prescriptions for optimal outcomes at the lowest cost.

Carrot Health Wins Minne Inno Fire Award

Posted in Press Releases on Thursday, July 01, 2021.

MINNEAPOLIS – July 1, 2021 – Carrot Health, a leading provider of healthcare solutions powered by consumer and claims data, has received the Fire Award from Minne Inno, which covers the Twin Cities’ burgeoning startup and technology communities. Honored in the high-tech category, Carrot Health was one of 50 companies from across Minnesota to be recognized in the 2021 awards.

“Recognition by Minne Inno with a Fire Award validates Carrot Health’s mission to help shape a future without health disparities in which everyone nationwide is able to lead their healthiest lives,” said Kurt Waltenbaugh, CEO of Carrot Health. “The state’s vibrant high-tech community is made up of some of the nation’s most innovative, leading edge companies, which makes this honor even more meaningful.”

Hayes CTO Wins Gold in 2021 IT World Awards® for Work Transforming MDaudit Enterprise Platform

Posted in Press Releases on Tuesday, June 29, 2021.

Wellesley, MA — June 29, 2021 –– Hayes, makers of the industry’s leading integrated auditing, billing compliance and revenue integrity platform for the nation’s premier healthcare organizations, announced today that CTO Ritesh Ramesh was recognized by the Globee® Awards as Chief Technology Officer of the Year in the 16th Annual 2021 IT World Awards®. Ramesh, who took top honors in the IT Software category, was recognized for his work leveraging augmented intelligence (AI) to transform both the company and its revenue integrity platform.