🕵️ Audit Guard™

🛡 Stay Ready for Any Payer. Respond Like a Pro.

Audit Guard™ equips your revenue cycle team with plug-and-play response templates, tracking tools, internal audit workflows, and regulatory references — so you’re never caught off guard by a payer audit, TPE probe, or documentation request again.

🎯 Get Audit Guard™

⚠ The Reality for Most Clinics

Audits aren’t just for “bad actors” anymore. Even clean claims are under scrutiny—and most clinics aren’t prepared until it’s too late.

Payer requests sit untouched until the deadline looms
Internal audits are scattered, untracked, or never done
Staff panic when CMS or a MAC sends a letter
No one remembers who responded to what
Risk areas aren’t flagged or monitored proactively

✅ When to Choose Audit Guard™

You’ve received a TPE, CERT, SMRC, or UPIC letter
You want to build an internal audit system before payers strike
You need better documentation for appeal defense
You’re managing provider risk without real visibility
Your staff wastes time Googling how to respond to audits

💸 The Cost of Not Acting

⚠ Missed deadlines = automatic recoupments
⚠ Denials due to incomplete or disorganized responses
⚠ Failed audits leading to pre-payment reviews or extrapolation
⚠ Payer distrust and increased scrutiny
⚠ Panic-mode response culture instead of structured defense

🕵 Meet Audit Guard™

Audit Guard™ is your audit readiness control center. Built for outpatient clinics, RHCs, and FQHCs, it gives you real-world templates, tracking tools, staff workflows, and payer-specific tips—without hiring an audit consultant or legal team.

This toolkit draws from CMS Program Integrity manuals, MAC education resources, and proven internal audit practices.

🎯 How It Helps Leaders

🧾 Streamline Audit Response – Use plug-and-play templates for MAC, commercial, and Medicaid
📁 Track Every Request – Know who responded to what, and when
⚠️ Identify Risk Before Payers Do – Run internal audits with scoring and escalation logic
📬 Simplify Communication – Give staff SOPs for logging, routing, and tracking audits
🛡 Protect Revenue – Avoid recoupments, late responses, and overpayment errors

💼 What’s Included

Proactive Audit Prep Checklist
Audit Response Template Pack (MAC, Commercial, CERT, TPE)
Internal Audit Log & Tracker (Excel with scoring, flags, and audit type filters)
Staff Workflow SOPs (for front desk, billing, and compliance roles)
Escalation Pathway Flowchart
Sample Appeal Attachments & Cover Sheet Templates
CMS Audit Types & Timeline Summary
MAC Jurisdiction-Specific Contact Reference (Editable)

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Run your audit readiness like a pro. No consultants. No crisis mode. Just structured, defensible action plans and real-world tools your team can use immediately.

Name your plan

$375

Visualize, organize, and respond to payer and HRSA audits with precision. Audit Guard™ gives you real-time trackers, due date planners, and escalation workflows to prevent scramble-mode and keep your documentation defensible.

🎯 Get Audit Guard™

Track Every Request. Stay Ahead of Deadlines.

🧾 Results You Can Expect

✔ Reduced panic and confusion during audits
✔ Timely, organized audit responses with appropriate documentation
✔ Standardized internal workflows for tracking and responding
✔ Increased success in TPE and CERT reviews
✔ Clear visibility into audit risk areas and resolution status

“We got hit with a TPE probe right after launching Audit Guard™. Because we had templates and logs ready, we sent a complete response within 5 days. The MAC rep even commented on how well prepared we were.”

Tara L.

RCM Director

Zero-Risk Guarantee

If Audit Guard™ doesn’t help your team respond more confidently to audits or proactively identify risk, we’ll credit the full purchase toward any Thrive Compliance Tools™ product.

FAQ

Yes — the kit includes TPE, CERT, UPIC, and SMRC references, with commercial payer and Medicaid response templates as well.

Absolutely. The scoring tracker and SOPs are designed to support internal QA and self-audits for CPTs, modifiers, documentation, etc.

Yes — we’ve included SOPs and workflows to route audit tasks by role: front desk, coder, compliance lead, and billing manager.

Yes — MAC-specific delivery options are included. Users can also add their own contacts or payer portal links.