Audit Response

Answer an Audit Without Stopping the Clinic

Log the request, assemble the records it asks for, and send a package with a cover letter that maps each item to where it sits.

The audit response tracker in O&P Assist, listing payer audits with type, claim count, due date, and status

What it does

The work an audit actually creates

Most of an audit response is retrieval and assembly. That is the part worth automating; the judgment stays with your compliance lead.

Assembled packages

The request names what it wants. The system gathers the matching records for those dates of service and builds the response package, with a narrative cover letter you edit before it goes out.

Deadlines tracked

Each request carries its own clock. Response windows, what has been assembled, and what is still outstanding stay in one place instead of somebody's calendar.

Readiness before the letter

Documentation completeness is scored as notes are written, so you can see which practitioners and procedures would be thin under review before anyone asks.

Coverage

The requests O&P practices actually get

Medicare, Medicaid, and commercial payers each request differently, so each audit is tracked with its own type, claim set, and response window.

SMRC

Supplemental Medical Review Contractor

Targeted reviews of specific codes or utilization patterns, usually spanning several dates of service.

RAC

Recovery Audit Contractor

Post-payment review with recoupment exposure on claims that have already been paid.

Pre-pay

Pre-payment review

Documentation requested before the claim is paid, so the response window drives the cash flow.

Post-pay

Post-payment review

Records requested after payment, where the exposure is money already recognized.

How it works

From letter to submitted package

The package is yours to inspect at every stage, because you are the one signing it.

  1. 01

    Log the request

    Record the audit type, the claims in scope, and the date the response is due.

  2. 02

    Pull the records

    Documentation for those dates of service is collected into a single package.

  3. 03

    Draft the cover letter

    A narrative letter maps each requested item to where it sits in the package.

  4. 04

    Review and send

    Your compliance lead checks the package and submits it. Nothing leaves unreviewed.

Testimonials

What O&P teams say

I absolutely am obsessed with O&P Assist. We have received no findings from insurances requesting audits on our Practitioner notes. O&P Assist gives exactly what Medicare is asking for when it comes t...
LB
Leatha Bennett
Billing Manager
Floyd Brace Company
I love everything about this program! I can not tell you how much pressure it has taken from us as admin, and how much quicker it makes our job. As far as I'm concerned, this is a Godsend :-)
DA
Dianna Austin
Orthotic & Prosthetic Coordinator
Integrity Orthotics & Prosthetics
O&P assist is a game-changer for our practice and support has been outstanding!
FV
Francois J. Van Der Watt
Owner, CPO
Van Der Watt Prosthetics & Orthotics
THANK YOU!! What a fantastic tool this is for the orthotic and prosthetic field!
SS
Stacey Smith
Business Manager
Mid-Florida Prosthetics & Orthotics

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