Intelligently Identify Who to Audit with Analytics, by Healthicity

Determining which providers to audit, who your outliers are, and where your risks lie is a complex assignment for any auditor. And despite advances in data analytics, most organizations still rely on arbitrary, random sampling methods for conducting audits. In fact, our recent benchmark report shows that 74% of organizations rely solely on random sampling methods.

So, it should come as no surprise then that we’re excited to announce the upcoming launch of our new solution, Analytics by Healthicity. This new tool will effectively eliminate the hassle of determining who to audit by leveraging advanced models that can identify your providers’ risky billing behaviors early. By identifying these risks early, you're able to correct issues before you lose revenue.

Analytics features all new tools to save your audit staff time and effort by pinpointing providers who are a risk to your organization. Those include Risk Identification, which delivers a strategic focus for your audit program by targeting your most at-risk providers. And Pattern Recognition, which displays billing patterns of risky providers over time, and inspects patient encounters that contribute to their risks. Not to mention a Procedure Dashboard to compare your providers to their peers within your organization or, with a few clicks, how your organization stacks up against national averages.

To coincide with this launch, we’ll be providing a sneak peek of analytics in our upcoming webinar, How to Conduct Smarter Audits with Analytics, where we’ll show you how this next-generation software gives you the power to:

• Uncover Provider and Code-usage Outlier Patterns
• Identify Common (and Uncommon) Billing Trends
• Compare Providers Between Internal and National Benchmarks