🛡 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.
⚠ 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)
Write a short headline
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.
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.
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.