Introducing the MedChartScan Audit Module: Turning RADV Anxiety into Audit Confidence
What’s the most dreaded phrase in the world of risk adjustment?
For most, it’s: “You’re being audited.”
That single sentence triggers an all-hands-on-deck scramble. It means weeks of manually pulling charts, digging through disconnected systems, and an adversarial back-and-forth between providers and payers. With the average RADV audit putting millions of dollars at risk, it’s a process built on friction and fueled by anxiety.
At MedChartScan, we believe this is not just inefficient; it’s fundamentally broken. The problem isn't a lack of data, but a lack of trust and a missing bridge between a submitted claim and its clinical proof.
Today, we’re launching that bridge.
Introducing the Audit & Transparency Module: A New Philosophy
We are thrilled to announce the MedChartScan Audit & Transparency Module. This isn't just another feature—it's a new philosophy for how providers and health plans should collaborate.
"We didn't just want to build a better tool for managing audits; we wanted to fundamentally fix the broken trust between providers and payers. This module is our answer. It's about creating a shared reality, powered by data, where compliance and collaboration can finally coexist."
It creates an unbreakable, real-time link between every HCC diagnosis, every submitted claim, and the specific medical record evidence that supports it. It transforms the audit process from a reactive scramble into a proactive, transparent, and collaborative function.
How We're Building the Bridge
We designed the module to be powerful yet invisible, working in the background to build a permanent, defensible record for every claim.
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An Unbreakable Link Between Claim and Proof: The moment your team validates an AI-surfaced HCC, MedChartScan automatically creates a permanent, unchangeable link between the code, the claim, and the exact evidence in the patient's chart. There is no extra step. It’s your audit trail, built automatically.
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A Secure "Source of Truth" Portal: You can now grant health plans secure, read-only access to this linked evidence. Imagine a world where a payer can verify a claim's clinical justification in seconds, without a single disruptive email or phone call. This isn't just transparency; it's a massive reduction in administrative waste for both sides.
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Instant, Audit-Ready Packages: When a RADV audit letter arrives, the panic is gone. Simply select the requested claims and instantly generate a complete, compliant package of documentation with every piece of supporting evidence attached. What used to take weeks now takes minutes.
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Radical AI Transparency: We built this on our core belief in explainable AI. The module allows both providers and payers to see precisely why the AI made a suggestion, fostering the trust needed for a true data-driven partnership.
From Adversaries to Partners
This module is designed to fundamentally shift the dynamic between providers and payers.
- For Providers: You can now enter any audit with complete confidence. You eliminate hundreds of hours of manual prep work and build stronger, more trusting relationships with your health plan partners.
- For Health Plans: You gain secure, unprecedented visibility into the clinical evidence behind claims, ensure CMS compliance, and dramatically reduce the administrative burden on your provider network.
The future of risk adjustment is not about fearing audits; it's about being perpetually ready for them. It’s transparent, collaborative, and built on trust.
Ready to turn audit anxiety into audit confidence?
Explore the new Audit & Transparency Module page to learn more, or schedule a personalized demo to see it in action.