Protect Your Medicare Income from Surprise Audits

AI finds missing chart notes and creates correction files for CMS. Stop losing money to Medicare Advantage audit mistakes.

HIPAA Compliant
SOC 2 Type II
CMS CERT-Validated
RAFGuard dashboard showing $12.2M RADV exposure with Create Delete Batch functionality, risk analytics, and geographic heatmap

Medicare Audits Are Coming for Your Revenue

CMS is checking every diagnosis code. Are your charts ready?

$43B

At risk nationwide

CMS projects billions in overpayments across Medicare Advantage plans. Your practice could face surprise repayments.

Your income depends on accurate coding

Each diagnosis code affects your Medicare payments

Chart reviews take forever

Staff spend hours hunting for supporting notes

Surprise repayment demands

CMS can demand money back within 60 days

How RAFGuard Works

Three simple steps to protect your Medicare income

Send Us Your Files

Upload your claims data and patient charts to our secure system. We handle all the technical setup.

AI Finds Missing Notes

Our AI reads every chart and finds supporting notes for diagnosis codes. It flags codes that need fixing.

One Click to Fix Billing

Click "Create Correction File" and we send the fixes to CMS. Your audit risk drops by 60% instantly.

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What do these terms mean?

Risk Score (RAF): A number that determines your Medicare payments. Higher scores = more money.

Diagnosis Codes (HCC): Medical codes that describe patient conditions and affect payments.

Medicare Advantage Audit: When CMS reviews your charts to verify diagnosis codes are supported.

Calculate Your Savings

See how much RAFGuard could save your practice

Calculation assumes:

  • $1,200 average payment per patient per month
  • 60% risk reduction with RAFGuard
  • Industry standard error rates: 2-4%
$24.6M

Estimated Annual Savings

$2.1M

Monthly Savings

ROI Timeline: 3-6 months

Real Results from Doctor Practices

See how practices like yours are protecting their income

67%

Average Exposure Reduction

Across 5 pilot health plans with 250K+ combined MA lives

94%

AI Accuracy Rate

After 2-week training period with customer coding teams

$18M

Largest Single Reduction

Regional plan with 75K MA lives reduced exposure from $27M to $9M

Join Our Next Pilot Cohort

We're accepting 3 more health plans for our Q2 2025 pilot program. Get RAFGuard implementation at 50% off standard pricing.

Enterprise-Grade Security

Your data is protected by industry-leading security measures

VPC-SC

Virtual Private Cloud Service Controls for data perimeter security

CMEK

Customer-managed encryption keys for complete data control

HITRUST

HITRUST CSF certification in progress (Q3 2025)

BAA Ready

Business Associate Agreement available for immediate signing

Ready to Protect Your Medicare Income?

Join medical practices already using RAFGuard to prevent audit surprises

No setup fees • 30-day pilot • HIPAA-compliant from day one