Audit Requests Take 15-30 Hours. You Don't Have a Compliance Department.
Small practices defending RAC, CERT, and payer audits alone spend weeks searching for evidence. One missing document costs $50K-$500K in downcoding. Evidence-linking provides 60-second audit response with claim-level audio timestamps.
Built for Practices Without Compliance Departments
Small groups (2-20 providers) facing Medicare audits without dedicated legal teams. High Medicare volume practices needing instant audit defense. Emergency medicine and high-risk specialties defending alone. Enterprise health systems have compliance departments; you need 60-second evidence-linking.
Small Practices Know This Reality
Unexpected Audit Requests
RAC, CERT, payer audits with 30-45 day deadline
No Compliance Department
Small practices defending audits without legal teams
Documentation Search
15-30 hours searching for visit audio and notes
$50K-$500K Downcoding Risk
Lost revenue when can't prove medical necessity
Defend Audits in 60 Seconds Instead of 15-30 Hours
60-Second Audit Response
Claim-level audio timestamps provide instant proof of medical necessity
7-Year Audio Retention
Long-term compliance storage included, exceeding industry standard
Evidence-Linking Technology
Bidirectional links between claims and audio segments
Medical Necessity Proof
Exact moment clinical decision documented and timestamped
Automatic Organization
Claims tagged with relevant audio segments automatically
Defensible Documentation
SOAP notes with audio backup for complete audit trail
Proven Results in Audit Defense
Streamlined Audit Defense Workflows
RAC Audit Response
- 1. Receive audit request for 20 claims
- 2. Open OrbDoc audit dashboard
- 3. Select flagged claims and pull evidence in 60 seconds
- 4. Review audio timestamps showing medical necessity
- 5. Submit response same day with complete audio proof
Payer Pre-Payment Review
- 1. Commercial payer flags claims for review
- 2. Access claim-level audio timestamps instantly
- 3. Provide audio proof of patient conversation and clinical decision
- 4. Submit documentation within 24 hours
- 5. Get paid without denial
CERT Audit Defense
- 1. Random Medicare selection for comprehensive review
- 2. Pull complete encounter audio with timestamps
- 3. Demonstrate medical necessity with exact conversation
- 4. Pass audit with zero findings
- 5. Maintain clean audit record
How Evidence-Linking Technology Works
Every claim automatically linked to timestamped audio proof
1. Voice Documentation
- ✓ Voice documentation captured during patient encounter
- ✓ AI automatically links clinical findings to billing codes
- ✓ Audio segments timestamped to specific claim elements
- ✓ Encrypted storage with HIPAA-compliant 7-year retention
- ✓ One-click audit response package generation
2. Automatic Linking
- ✓ Chief complaint → ICD-10 diagnosis codes
- ✓ History of present illness → Medical necessity
- ✓ Review of systems → E/M level support
- ✓ Physical exam findings → Procedure codes
- ✓ Medical decision-making → Complexity level
3. Secure Storage
- ✓ HIPAA-compliant encryption at rest and in transit
- ✓ Role-based access control (only authorized users)
- ✓ Audit trail of all evidence package access
- ✓ 7-year retention meets Medicare/Medicaid requirements
- ✓ Geographically redundant backup storage
Example: E/M Level 4 Audit
Auditor questions: "How do you justify level 4 complexity?"
Evidence-Linking Response: Audio timestamp 4:32-6:18 captures detailed history of present illness with 4+ chronic conditions, timestamp 11:15-14:40 documents comprehensive review of systems, timestamp 18:22-22:10 shows complex medical decision-making discussion with patient.
Success Patterns from Practices Using Evidence-Linking
High Medicare Volume Practices
Practices with 60%+ Medicare patients facing frequent RAC and CERT audits report consistent patterns:
- ✓ Audit response time reduced from 15-30 hours to 60-90 minutes
- ✓ Downcoding avoided with timestamped audio proof
- ✓ Same-day audit responses without evening chart reconstruction
Small Practices Facing First Audit
Solo and small groups (2-5 providers) without compliance departments defending their first major audit:
- ✓ In-house 60-second response capability reduces external consultant needs
- ✓ Confident coding with timestamped evidence
- ✓ Same-day responses replace weeks of chart review
Emergency Medicine & High-Risk Specialties
EM physicians, surgeons, and high-risk specialties facing liability exposure and frequent payer scrutiny:
- ✓ 7-year audio retention for malpractice defense protection
- ✓ Timestamped clinical decision-making for every encounter
- ✓ Defend complex cases with exact conversation timestamps
6 Audit Scenarios Where Evidence-Linking Protects You
Medicare RAC Audits
High FrequencyCommon Audit Focus Areas:
- • E/M coding levels
- • Medical necessity documentation
- • Documentation completeness
- • Upcoding claims investigation
Evidence-Linking Solution:
Claim-level audio timestamps prove medical necessity and support E/M level. Practices report avoiding $50K-$200K downcoding per audit cycle.
Commercial Payer Audits
Medium FrequencyCommon Audit Focus Areas:
- • Prior authorization compliance
- • Network billing accuracy
- • Procedure medical necessity
- • Fraud prevention investigations
Evidence-Linking Solution:
Audio proof of patient conversation, informed consent, and clinical decision-making. Practices report reducing documentation requests significantly.
Workers' Comp Audits
Medium FrequencyCommon Audit Focus Areas:
- • Work-relatedness verification
- • Treatment necessity
- • Causation documentation
- • Maximum medical improvement
Evidence-Linking Solution:
Timestamped audio of injury history, functional assessment, and work capacity discussions. Practices report reducing consultant costs significantly.
Emergency Medicine Liability
High-Risk Specialty FrequencyCommon Audit Focus Areas:
- • Standard of care documentation
- • Informed consent for procedures
- • Clinical decision-making rationale
- • Time-sensitive interventions
Evidence-Linking Solution:
7-year audio retention provides complete encounter record for malpractice defense. Every clinical decision is timestamped.
Readmission Audits
Medium FrequencyCommon Audit Focus Areas:
- • Discharge planning documentation
- • Transitional care coordination
- • Patient education on follow-up
- • Post-discharge care instructions
Evidence-Linking Solution:
Audio evidence of discharge instructions, follow-up planning, and patient understanding. Protect transitional care management revenue.
High-Risk Specialty Audits
Specialty-Dependent FrequencyCommon Audit Focus Areas:
- • Complex procedure documentation
- • Specialty-specific E/M coding
- • Advanced imaging medical necessity
- • Surgical decision-making rationale
Evidence-Linking Solution:
Specialty-specific clinical reasoning captured in timestamped audio. Defend complex cases with exact conversation timestamps.
Real-World Case Study: 94% Audit Success Rate
35-Provider Multi-Specialty Group (Southeast)
The Problem
Receiving 40-50 audits annually, spending 600+ hours on manual audit response, $180K in denied claims
Audit Types: Medicare RAC, commercial payer, quality measure audits
The Implementation
Deployed OrbDoc evidence-linking across all providers
"Evidence-linking changed our audit defense from reactive panic to proactive confidence. We can now prove medical necessity for any claim in under 2 minutes."
— Director of Revenue Cycle, Multi-Specialty Group
TOTAL ANNUAL VALUE
$169K recovered + 480 hours saved annually = $394K total value
Calculate Your Audit Defense ROI
Current Audit Costs
With Evidence-Linking
Annual Savings + Recovery:
$345K-$564K
Time savings + improved audit success rate
Frequently Asked Questions
What is evidence-linking technology?
Evidence-linking automatically timestamps and links audio segments to specific billing codes and clinical documentation. For any claim, you can instantly retrieve the exact audio proof of what was discussed, examined, or decided during the patient encounter.
How long does OrbDoc retain audio for audit defense?
7 years of HIPAA-compliant audio retention, meeting Medicare and Medicaid audit requirements. All audio is encrypted at rest and in transit with geographically redundant backup storage.
Can evidence-linking really reduce audit response time to 60 seconds?
Yes. With one-click audit response package generation, you can pull claim-level audio proof in under 60 seconds. Our case study showed a 35-provider practice reduced audit response from 15-30 hours to 60-90 minutes with 94% success rate.
What types of audits does evidence-linking help with?
Medicare RAC audits, commercial payer audits, quality measure audits (HEDIS, MIPS), and malpractice defense. Evidence-linking provides timestamped audio proof for medical necessity, E/M coding levels, procedure documentation, and clinical decision-making.
Is the audio evidence admissible for audit appeals?
Yes. Audio evidence is widely accepted by payers as documentation of what occurred during patient encounters. OrbDoc provides audit trails showing when audio was captured and accessed, with enterprise-grade certified infrastructure ensuring integrity.
"Physicians using evidence-linking report responding to 20-claim RAC audits in 2 hours instead of 2 weeks. Claims are upheld with timestamped audio evidence backing every code."
Solo Family Practice Physician
18 years practicing
Audit Defense Revenue Protection
Downcoding Avoided
Prove medical necessity with timestamped audio
Consultant Costs Eliminated
In-house 60-second audit response capability
Staff Time Savings
95% reduction in audit response time annually
Total Annual Audit Defense Value: $345K-$564K
For practices facing 40-50 audits annually
Defend Audits with Evidence-Linking
60-second audit response with claim-level audio timestamps. Avoid downcoding with timestamped proof.
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