HCFS Audit Suite
One Connected Audit Workflow
The HCFS Audit Suite connects every stage of the audit lifecycle into a single, streamlined workflow. From statistically valid sample selection and medical record retrieval to AI-powered record review, healthcare payers gain the visibility, efficiency, and consistency needed to improve audit performance.
Complete Audit Visibility
The HCFS Audit Suite combines three purpose-built solutions that can be implemented individually or together.
Select the Right Records
AuditSVRS generates statistically valid random samples that support audit integrity and compliance.
Benefits
- Defensible sampling methods
- Built in extrapolation
- Faster audit preparation
Retrieve the Records
AuditMRR manages provider outreach, record collection, tracking, and document management.
Benefits
- Faster retrieval turnaround
- Improved retrieval rates
- Reduced administrative effort
Review the Records
RecordPlus analyzes documentation and organizes key findings into structured, review-ready insights.
Benefits
- Faster record review
- Improved consistency
- Better audit accuracy
Why Healthcare Payers Choose the Audit Suite
Eliminate Disconnected Processes
Replace spreadsheets, email chains, and manual tracking with a connected workflow.
Improve Audit Efficiency
Reduce administrative burden and accelerate audit completion.
Increase Audit Consistency
Standardize sampling, retrieval, and review processes.
Strengthen Audit Defensibility
Support compliance requirements with documented, repeatable methodologies.
Scale Audit Programs
Support retrospective audits, payment integrity initiatives, compliance reviews, provider audits, and risk adjustment programs.
Flexible Deployment Options
Implement one solution or the entire suite.
Download the Complete Audit Suite Overview
Flexible Configurations for Different Audit Programs
Deploy the solutions you need today with the flexibility to scale and expand as your audit program evolves.
SCENARIO 1
AuditSVRS Only
For organizations needing defensible sampling support.
SCENARIO 2
AuditMMR Only
For organizations focused on medical record request and retrieval operations.
SCENARIO 3
AuditSVRS + AuditMMR
For teams that need defensible sampling and streamlined record retrieval.
SCENARIO 4
AuditMMR + RecordPlus
For teams looking to combine efficient record retrieval with AI-powered review.
SCENARIO 5
Full HCFS Audit Suite
For organizations needing a complete integrated audit lifecycle solution.
Ready to Modernize Your Audit Program?
Decide with confidence.
Explore Our Products:
