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Recovery Audit Contractors (RAC)

• Inpatient Care

• Outpatient Care

• Clinics/Ambulatory Surgery

• Home Health

• Nursing Homes

What they look for:

• Documentation and coding inconsistency

• Overpayments made to Providers

• Clear documentation to support the medical

necessity of the services being provided

AuditGuard is a RAC Pre-Audit Review

• An independent assessment to identify areas

of non-compliance

• Identifies improper coding and billing that is

based on the medical records

How AuditGuard Works

1. We pull and submit 50 charts for review

2. Certified Coder reviews documentation and

coding

3. Audit report is provided and reviewed with

you and your staff

AuditGuard

Why You Need AuditGuard

• Offer corrective actions required for

compliance

• Implement changes to stay in compliance

• Offer continuing education programs that

ensure the Provider is meeting

documentation compliance

1. AuditGuard can receive any

document type: electronic,

paper or scanned image

Secured Transport

Secured Transport

2. When documentation arrives,

it’s separated and distributed

into different coding teams

3. Certified Coder analyzes

each chart

4. AuditGuard provides you a

Detailed Report

5.We present the results

to you and your staff

Sample Report