Healthcare Audit Methodology :: Medical Business Associates, Inc.

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Audit Methodology

Medical Business Associates improves clinical and financial and performance through data-driven audit and control. We conduct comprehensive audits for clients throughout the healthcare marketplace including healthcare providers, payers, employers, patients, government agencies and attorneys.

Our audits encompass a suite of comprehensive examinations, including data-driven analytical, retrospective and prospective audits. Our experienced nurse auditors have a deep operational understanding of both clinical and financial healthcare continuums as well as error and operational controls.

We save our clients time and money. Medical Business Associates uses technology to improve the efficiency of the audit process by implementing proprietary data management technology that enables our auditors to complete comprehensive reviews quickly and accurately. We use both deductive and inductive approaches via Exploratory Data Analysis (EDA) — statistical tools utilized in reviewing, communicating and analyzing data.

Medical Business Associates' audits make use of:

Proprietary Data Mapping and Data Mining Tools to identify lost or wasted healthcare resources
Healthcare Business Experts that understand the healthcare marketplace
Market Experts that understand provider, payer, plan sponsor and supplier business models
Healthcare Reimbursement Experts that understand financing and reimbursement methodologies
Information Technology Experts that develop and manage databases and programs, select effective queries and generate data patterns for analysis and interpretation

Did You Know?

Healthcare Fraud

In 2006, Healthcare fraud accounted for $2.75 billion of the $3.1 billion collected in fraud settlements and 58 of the 96 major fraud cases that year.

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Medical Business Associates, Inc. is a certifed MBE ("Minority Business Enterprise"), SDB ("Small Disadvantaged Business"), and WBE ("Women Business Enterprise").