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What is Remittance360?

Remittance360 serves as an essential resource for all organizations involved in the healthcare revenue cycle sector. By utilizing standard 835 files, various departments within these organizations can harness the platform to make well-informed decisions regarding cash flow and accounts receivable management. The intuitive design of Remittance360 ensures that setup is quick and efficient, allowing for the seamless upload of 835 data in mere seconds. With the ability to manage the standard 835 data set, organizations can easily incorporate necessary information without requiring extensive IT assistance. This platform effectively utilizes existing data to generate valuable reports on denials, emerging trends, and payer-specific activities, which are critical for identifying particular workflow needs. Furthermore, users will appreciate the simplicity of the data querying feature, which allows them to save frequently used queries for easy access in the future. For example, examining denials by remark codes alongside departmental performance metrics can reveal and resolve fundamental issues within the system. Ultimately, Remittance360 equips organizations with the tools necessary to improve their revenue cycle management, fostering a culture of informed decision-making and strategic enhancements. With such capabilities, organizations can strive for continuous improvement in their operational efficiencies and financial outcomes.

What is MDaudit?

MDaudit represents a cutting-edge, cloud-based solution that integrates billing compliance, coding audits, and revenue integrity processes tailored for a range of healthcare organizations such as hospitals, surgical centers, and physician networks. The platform supports various types of audits, including scheduled, retrospective, risk-based, and those focused on denials. By automating the collection of data from pre-bill charges, claims, and remittance information, MDaudit effectively triggers audit workflows, detects anomalies and high-risk patterns, and provides real-time dashboards equipped with detailed analytics that help uncover the root causes of billing errors, denials, and revenue deficits. Notably, it features a “Denials Predictor” to validate claims prior to submission, alongside a “Revenue Optimizer” that supports continuous risk monitoring, both of which are crucial for organizations aiming to reduce claim denials, lower recoupments, and enhance revenue capture. Additionally, MDaudit simplifies the management of payer audits by offering a secure and centralized platform that streamlines the handling of external audit requests and facilitates the necessary documentation exchange, thus significantly boosting operational efficiency. The extensive capabilities of MDaudit ensure that healthcare providers are better equipped to uphold stringent standards of compliance and revenue management while adapting to the ever-evolving healthcare landscape. By integrating such advanced tools, MDaudit not only empowers healthcare entities to optimize their financial performance but also fosters a culture of accountability and transparency across operations.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub
On-Site Training

Training Options

Documentation Hub
Online Training

Company Facts

Organization Name

GAFFEY Healthcare

Company Location

United States

Company Website

gaffeyhealth.com/remittance360/

Company Facts

Organization Name

MDaudit

Date Founded

1993

Company Location

United States

Company Website

mdaudit.com

Categories and Features

Medical Billing

Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Quotes/Estimates

Medical Coding

Not specified

Categories and Features

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