mdaudit

JSON twin: https://www.healthaidb.com/software/mdaudit.json

Company Name

MDaudit

Product URL

https://www.mdaudit.com/solutions/

Company URL

https://www.mdaudit.com/

Categories

Summary

MDaudit is a cloud-based SaaS platform that centralizes billing compliance, coding audits, and revenue integrity with analytics and AI-driven risk monitoring to reduce denials and maximize revenue.

Description

MDaudit provides an integrated auditing and revenue integrity platform offering automated audit workflows, billing risk analytics, denial prediction, payer audit management, coder workflows, benchmarking, dashboards, and augmented intelligence for pre-bill and post-claim review across health systems, hospitals, physician networks and ambulatory settings.

Api Available

unknown

Certifications

Company Founding

1993

Company Offices

Compliance

Customers

Data Residency

Hosted on AWS (US regions); TX-RAMP authorization for Texas agency use; US-focused hosting options

Data Standards

Deployment Model

Features

Id

P0991

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial/proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for demo and pricing; enterprise SaaS licensing (no public list prices).

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "MDaudit",
  "company_url": "https://www.mdaudit.com/",
  "company_offices": [
    "United States"
  ],
  "company_founding": "1993",
  "product_url": "https://www.mdaudit.com/solutions/",
  "categories": [
    "administrative",
    "billing compliance",
    "revenue integrity",
    "revenue cycle",
    "health information management (HIM)",
    "coding",
    "analytics",
    "audit/workflow automation"
  ],
  "market_segment": [
    "enterprise",
    "health systems",
    "smb"
  ],
  "links": [
    "https://www.mdaudit.com/",
    "https://www.mdaudit.com/solutions/",
    "https://www.mdaudit.com/about/",
    "https://www.mdaudit.com/why-choose-us/data-security/",
    "https://www.mdaudit.com/wp-content/uploads/2023/06/MDaudit-Enterprise-Overview-Brochure.pdf",
    "https://elion.health/products/mdaudit-revenue-integrity-suite",
    "https://www.capterra.com/p/264988/MDaudit-Enterprise/",
    "https://www.mdaudit.com/wp-content/uploads/2023/07/KLAS-MDaudit-First-Look.pdf",
    "https://aws.amazon.com/blogs/machine-learning/mdaudit-uses-ai-to-improve-revenue-outcomes-for-healthcare-customers/",
    "https://www.mdaudit.com/resource/press-release/mdaudit-announces-strategic-growth-investment-from-bregal-sagemount-and-primus-capital/"
  ],
  "summary": "MDaudit is a cloud-based SaaS platform that centralizes billing compliance, coding audits, and revenue integrity with analytics and AI-driven risk monitoring to reduce denials and maximize revenue.",
  "description": "MDaudit provides an integrated auditing and revenue integrity platform offering automated audit workflows, billing risk analytics, denial prediction, payer audit management, coder workflows, benchmarking, dashboards, and augmented intelligence for pre-bill and post-claim review across health systems, hospitals, physician networks and ambulatory settings.",
  "target_users": [
    "billing auditors",
    "revenue cycle managers",
    "coding teams/coders",
    "compliance officers",
    "health information management (HIM) staff",
    "finance/CFO",
    "denials management teams",
    "physician group administrators"
  ],
  "specialties": [
    "billing compliance",
    "revenue integrity",
    "medical coding/HIM",
    "denials management",
    "payer audit management",
    "revenue cycle optimization"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for demo and pricing; enterprise SaaS licensing (no public list prices).",
  "license": "commercial/proprietary",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Internal audit workflows (hospital, professional, coder)",
    "Automated data pulls and sample selection",
    "Billing risk analytics / continuous risk monitoring",
    "Revenue integrity suite (closed-loop insights to action)",
    "Revenue Optimizer (revenue cycle workflows)",
    "Denials Predictor (denial trend detection)",
    "Payer audit management",
    "Coder workflow with review/rebuttal",
    "AI Assist (natural language / analytics-driven insights)",
    "Scheduled audit planner / automated scheduling",
    "Templated and customizable workflows",
    "E&M worksheets and auditing aids",
    "Advanced dashboards & drillable analytics",
    "Automated reporting and audit documentation capture",
    "Anomaly detection and root-cause analysis",
    "Task assignments and digital document management",
    "Robust reporting packages and audit insights"
  ],
  "optional_modules": [
    "Revenue Integrity Suite",
    "Revenue Optimizer",
    "Denials Predictor",
    "Payer Audit Management",
    "Coder Workflow",
    "Scheduled Audit Planner",
    "AI Assist"
  ],
  "integrations": [],
  "data_standards": [
    "CPT",
    "ICD-10",
    "HCPCS",
    "DRG",
    "HCC"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITRUST CSF",
    "TX-RAMP (Level 2)",
    "CSA STAR (Level 1)",
    "CORL"
  ],
  "certifications": [
    "HITRUST CSF Certified",
    "TX-RAMP Level 2",
    "CSA STAR Level 1 (C-STAR)",
    "CORL Cleared"
  ],
  "security_features": [
    "Encryption at rest and in transit",
    "Multi-factor authentication (MFA)",
    "Single sign-on (SSO)",
    "Role-based access control (RBAC)",
    "Audit logging / activity capture",
    "Regular penetration testing",
    "Continuous third-party vendor risk scanning"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) with cloud provider (AWS)",
    "PHI protection measures",
    "Secure backups",
    "Data encryption"
  ],
  "data_residency": "Hosted on AWS (US regions); TX-RAMP authorization for Texas agency use; US-focused hosting options",
  "customers": [
    "National Spine and Pain Centers",
    "DHR Health",
    "Baylor College of Medicine",
    "CaroMont Health",
    "San Juan Regional Medical Center",
    "Main Line Health",
    "Eskenazi Medical Group",
    "Novant (nonprofit health system)",
    "Large Midwest Health System",
    "Faith-based Nonprofit Health System"
  ],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [],
  "training_options": [
    "webinars",
    "recorded_demos",
    "product_videos",
    "documentation"
  ],
  "release_year": "",
  "integration_partners": [],
  "id": "P0991",
  "slug": "mdaudit",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/mdaudit.json"
  }
}