Forty-five days, one indexed packet, one narrative that maps to the coverage criteria.
Medicare audit response support turns an additional documentation request into one indexed, paginated packet: signatures and orders located, the record ordered against the 45-day ADR clock, and a medical-necessity narrative written to the coverage determination being applied. Your compliance team and counsel decide what gets argued and filed.
The manual is published. So is the ladder that grades you.
We do not build for a case type until we can name the standard that defines a correct output and the person who grades the file against it. In Medicare audit response, both are written down, chapter and section, and the overturn rate is the score at the end.
Thirty pages or six hundred, and the clock runs the same.
An ADR file runs 30 to 600 pages, with the middle of the range around 315. It rarely arrives as one clean production: an EHR export, a scanned chart from before the conversion, a fax of the signed order, and a billing extract that has to line up with all three.
What makes it hard is not the length. It is the handwritten order that never got transcribed, the same progress note appearing in three exports under three file names, and a page from another patient sitting in the middle of the set. Every one of those costs a denial if it reaches the contractor unchecked.
Roughly 1.5 to 3 million additional documentation requests go out a year across RAC, SMRC, UPIC, MAC TPE and CERT.
Medicare fee-for-service improper payments came to $28.8 billion in FY2025, and each one is documented, or not, in a file like this.
Four steps, starting with one real ADR file.
Send one real file
One ADR production as you already hold it, plus the request letter that names the claims. In the demo case that was 342 pages across 2 packets, with a wrong-patient page caught before the read started.
We return the read
The packet indexed and paginated, signatures and orders located, duplicates stripped, gaps named, and a medical-necessity narrative drafted against the provision the contractor cited. Every line points back to its source page.
We scope the build
Your benefit chapters, your LCD set, your exhibit order and Bates convention, wired into a repeatable packet template your revenue integrity team recognises.
You run it
Your compliance leads and counsel review, sign and submit. We never determine coverage, sign a response, or take the appeal. Those decisions stay where the accountability already sits.
The rules the platform never breaks.
EVERY LINE CITED
HIPAA, under a signed BAA
Every file is handled under our Business Associate Agreement, from the first byte.
Never trains a model
Your records are never used to train any AI model — ours or anyone else's.
Every line cited
If we can't cite it, we don't say it. Every sentence links to its source page.
Deleted after delivery
Files are deleted 30 days after delivery, with a full audit log of every access.
Four capabilities behind every audit response packet.
The ADR packet is one deliverable of the same platform that reads, sorts, stamps and cites the whole record.
Document Sorting & Packet Builder
Mixed productions sorted into the exhibit order the response needs, with duplicates stripped before anything is assembled.
Bates Numbering & Stamping
One continuous pagination across the whole production, so the narrative and the contractor point at the same page number.
Missing Records Identification
The unsigned order, the absent plan of care, the certification nobody dated: named before the packet leaves your building, not after the denial.
Custom Report Builder
Your response template, your cover narrative, your exhibit index, produced the same way on every file your team touches.
Medicare audit response, answered.
Send one ADR file. We'll tell you what we can read.
No obligation. If the case type is buildable we'll scope it; if it isn't, we'll say so.