AI finds missing chart notes and creates correction files for CMS. Stop losing money to Medicare Advantage audit mistakes.
CMS is checking every diagnosis code. Are your charts ready?
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
Three simple steps to protect your Medicare income
Upload your claims data and patient charts to our secure system. We handle all the technical setup.
Our AI reads every chart and finds supporting notes for diagnosis codes. It flags codes that need fixing.
Click "Create Correction File" and we send the fixes to CMS. Your audit risk drops by 60% instantly.
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.
See how much RAFGuard could save your practice
Calculation assumes:
Estimated Annual Savings
Monthly Savings
ROI Timeline: 3-6 months
See how practices like yours are protecting their income
Average Exposure Reduction
Across 5 pilot health plans with 250K+ combined MA lives
AI Accuracy Rate
After 2-week training period with customer coding teams
Largest Single Reduction
Regional plan with 75K MA lives reduced exposure from $27M to $9M
We're accepting 3 more health plans for our Q2 2025 pilot program. Get RAFGuard implementation at 50% off standard pricing.
Your data is protected by industry-leading security measures
Virtual Private Cloud Service Controls for data perimeter security
Customer-managed encryption keys for complete data control
HITRUST CSF certification in progress (Q3 2025)
Business Associate Agreement available for immediate signing
Join medical practices already using RAFGuard to prevent audit surprises
No setup fees • 30-day pilot • HIPAA-compliant from day one