Audit defense

When the record request arrives, the packet is already built.

Medical review requests come with short deadlines. Veridence tracks every request and assembles the supporting documentation from your records, so your response is complete and on time.

ADR · TPEadditional documentation and targeted review
RAC · UPICrecovery and program integrity audits
Every deadlinetracked from the day the letter arrives
Sealedtime-stamped record of what was sent
Record requests

Every request, every deadline, in one place.

Each audit type has its own response window. Veridence tracks each request from receipt to response, so nothing is missed.

  • Deadlines tracked by audit type and letter
  • Evidence packets assembled from the medical record
  • Gaps identified before the packet is sent
  • A dated copy of everything submitted
Audit defenselive
Open requests
ItemWhereStatus
ADR, 3 claimsDue in 21 daysPacket ready
TPE round 1, 5 claimsDue in 9 days2 gaps
UPIC request, 2 claimsDue in 12 daysIn review
RAC request, closedSubmittedComplete
Sample data3 open
Before an audit

Find the weak claims before a reviewer does.

The same documentation checks run on every claim before it is billed, so fewer claims need defending later.

  • Physician certifications and recertifications
  • Skilled need supported by nursing documentation
  • Therapy minutes consistent with the census
  • MDS coding supported by the chart
Built into the record

Built into the record

Evidence packets

Orders, MAR, notes, assessments and therapy records gathered for each claim.

Record integrity

A sealed, time-stamped record that shows documentation was not altered after the fact.

Overpayment tracking

Identified overpayments tracked against their repayment deadlines.

Appeals support

Documentation for redetermination and reconsideration, organized by claim.

How it works

From the record to your team.

01

Letter received

The request and its deadline are logged.

02

Evidence assembled

From the medical record, claim by claim.

03

Gaps reviewed

Your team reviews and completes the packet.

04

Response sent

With a dated record of what was submitted.

Questions

About audit defense.

Which audits does this cover?
Additional documentation requests, targeted probe and educate, RAC, UPIC and SMRC reviews, and Medicare Advantage record requests.
Is audit defense available over our current EHR?
Yes. Audit defense is included in compliance mode.
Does Veridence submit responses for us?
No. Veridence prepares the packet. Your team reviews it and submits it.
Keep exploring

More of the platform

See your facility the way a surveyor will.

A short screen share with our team. We will walk through the daily view, a mock survey and month-end Triple Check, using sample data.