There may be no other industry that is regulated as much as health care. According to Adrian Velasquez, president of Wauwatosa-based Fi-Med Management Inc., declining reimbursement rates and a tough economy have increased audits and investigations of hospital systems across the country.

"Compliance officers need help," Velasquez said. "Hospitals are under-resourced in time, money and personnel, and compliance in today's health care environment is an almost impossible task."

Reveal/md allows compliance officers to discover which physicians are at risk, what they are at risk for and how they can improve the process, said Jared Krawczyk, chief product architect and the person responsible for the development of Reveal/md.

Historically, health care facilities would randomly select 10 to 20 charts per position, per year to analyze, Krawczyk said.

"They would select charts at random and search for anomalies in coding and loss of revenue," he said. "It would take them about six months to do and they may or may not find the risks and they probably won't know exactly what to do to mitigate the risk even if they do."

Reveal/md can analyze every physician within a facility and discover who is at risk, based on 45 different indicators, Krawczyk said.

"And because Reveal/md can process the information so quickly, it allows for the use of other tools to track trends and improvements among physicians, and procedures on a month-to-month basis," he said.

In a health care facility, physicians are required to fill out paperwork based on the procedures and tests they run on each patient. Procedures are labeled using codes.

Whether intentionally, to account for loss of reimbursement, or unintentionally, due to a lack of education, incorrect or under-coding accounts for a large portion of audit risks.

According to Krawczyk, user experience was important to him in developing Reveal/md. Not only can Reveal/md indicate which doctors are at risk for audit, what they are at risk for and how to fix it, it can also identify physicians who might be under-coding, which could mean additional revenue, all without a medical or mathematical background.

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