Audit Defensibility & Operational Prep

Know your extrapolation risk before Medicare measures it for you.

We review 10 of your claims against the four documentation pillars audit contractors actually examine, and deliver your measured extrapolation exposure — in dollars, not generalities.

See how it works →
Reviewed by a working payer-side audit reviewer
The reality

The audited sample is never the real number.

Most providers prepare for the audit's direct findings. The extrapolation calculation is where the operations actually break.

Step 1UPIC contractor pulls 30 claims for documentation review30 claims
Step 212 of 30 claims fail documentation review40% error rate
Step 3Direct disallowed dollars on the audited sample$12,000
Step 4Error rate extrapolated across 12 months of paid claims1,000 claims
The demand letter40% × 1,000 × $1,000 = $400,000

The error rate you carry today is the single biggest determinant of what a future demand letter will say. Most operations have never measured theirs.

What we evaluate

The four documentation pillars auditors actually examine.

Every claim in your review is scored on each of these four areas, with traffic-light risk ratings and specific remediation guidance.

PILLAR 01

Delivery & Shipment Defensibility

Proof of delivery signed and dated. Tracking documentation retained. Delivery ticket matching the date of service billed on the claim.

PILLAR 02

Diagnosis Code Adequacy

ICD-10 specificity supporting medical necessity for the HCPCS billed. Primary and secondary diagnoses aligned with the equipment.

PILLAR 03

Continuous Use Documentation

Physician follow-up notes within required windows. Compliance reports captured. Recertification documentation where applicable.

PILLAR 04

Order & Authorization Trail

Detailed Written Order dated correctly. Face-to-face encounter notes in window. Prior authorization documented where required.

Your deliverable

The Extrapolation Risk Report.

One document. Six components. Built around the same evaluation framework UPIC and RAC contractors apply.

  • 01Executive scorecardOne page, traffic-light rated across all four documentation pillars.
  • 02Per-claim findingsEach of your 10 claims scored independently. Severity classification and specific remediation guidance for every gap.
  • 03Your measured error rateCalculated from your actual sample, not estimated. The single most important number in your audit posture.
  • 04Modeled extrapolation exposureYour error rate applied across your billing volume. The dollar figure your future demand letter could carry.
  • 0530-minute executive readoutDirect walk-through with Ted Jones, including Q&A on each finding.
  • 06Remediation roadmapWritten, prioritized, and sorted by what can be fixed at the workflow level versus the process level.
Who reviews your files

The same person currently reviewing real audit cases from the payer side.

Engagements are led by Ted Jones, CEO of BFLOW® Solutions. Outside of BFLOW®, Ted currently conducts audit reviews for a major national multiemployer benefit fund — meaning he sits on the payer side of these reviews several times a week, looking at exactly the kind of provider documentation that UPIC and RAC contractors examine on the Medicare side.

The methodology is the same. The failure patterns are the same. The dollars at stake are the same. You are not being reviewed by someone who learned this from a textbook.

30+
Years in healthcare RCM
11,000+
Insurance plans billed via BFLOW®
Weekly
Payer-side audit reviews
How it works

From first call to executive readout in five business days.

STEP 01

Connect

Submit the consultation form. A senior consultant follows up within one business day.

STEP 02

Engage

Sign a simple engagement letter. Receive secure document upload link.

STEP 03

Upload

Provide 10 claim files with full supporting documentation through encrypted upload.

STEP 04

Review

Each claim scored against all four pillars. Extrapolation exposure modeled.

STEP 05

Readout

30-minute executive walk-through with Ted. Written report delivered.

Engagement & investment

One scope. One fee. No hidden conversions.

Audit Defensibility Review

$1,495

flat fee · five business-day turnaround

Sample size
10 claims
Scope
1 location · all 4 pillars
Turnaround
5 business days
Multi-location, multi-category, or expanded-sample engagements quoted on request.
Common questions

Before you schedule.

Is this a compliance certification?

No. This is a documentation defensibility review designed to surface gaps so you can remediate them before a real audit. It does not constitute legal advice and does not guarantee any specific audit outcome.

What documents do I need to provide?

For each of the 10 claims: the claim file, supporting documentation (DWO, face-to-face notes, POD, prior auth where applicable), and any continuous use records. We provide a checklist at engagement so nothing gets missed.

How are my documents handled?

All documents are transmitted through encrypted upload and handled under BAA-protected workflows. PHI is never stored outside secured systems. The engagement letter includes specific data handling terms.

Can you review claims from multiple locations or product lines?

Yes. The flat-fee engagement covers 10 claims from a single location and single category. Multi-location and multi-category engagements are quoted on request — a 20-minute scoping call sizes the appropriate review.

What if I don't currently have a recent audit issue — should I still do this?

The right time to measure your error rate is before someone else measures it for you. Providers who get hit hardest in audits are not the ones running sloppy operations — they are the ones who believed their documentation was fine until it was actually checked.

Will you tell me to switch software?

No. The review evaluates documentation, not technology. Your findings stand on their own regardless of what billing system you use. The remediation roadmap sorts gaps into workflow-level issues and process-level issues — what you do with that information is up to you.

Talk to a consultant

Know where you stand before Medicare decides for you.

Five business days. Four pillars. One number that tells you what's at risk.

BFLOW® Solutions · DME/HME Audit, Workflow & Revenue Cycle Specialists

bflowsolutions.com

This engagement is a documentation defensibility review intended to surface remediation opportunities. It does not constitute legal advice, does not establish an attorney-client relationship, and does not guarantee any specific audit outcome. All work product is provided for the client's internal use.

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