For PHP, IOP, and SUD operators facing pre- or post-payment review
Stop Audits From Draining Your Cash Flow
We help PHP, IOP, and SUD owners stop claim freezes, fight $1M+ recoupment demands, and secure cash flow before and during the letter arrives.
Most facilities fall into one of three audit-risk zones: Green (manageable), Yellow (significant), Red (critical). If you’re Yellow or Red, this is a strategic priority, not an optional project. The Toolkit below shows you where you fall.
Behavioral health providers face aggressive audit scrutiny. Pre-payment reviews freeze cash flow. Post-payment audits demand millions.
Most findings are preventable.
Audit Defense & Prevention
Fixed-fee engagements aligned with your outcomes. We succeed when you succeed.Pre-Payment Review Response
When a payer freezes your claims, every day costs you money. We mobilize within 72 hours to organize your response and accelerate resolution.- Rapid documentation review and organization
- Direct payer communication management
- Appeals strategy and execution
- Cash flow impact mitigation planning
Post-Payment Audit Defense
We turned a $1.1M demand into an $87K settlement.
Extrapolated recoupment demands can reach seven figures. We fight to reduce your exposure and protect what you’ve built.- Sample analysis and error categorization
- Statistical methodology challenges
- Medical necessity defense preparation
- Settlement negotiation and appeals
Audit-Ready Cash Protection Sprint
A 6–8 week implementation to harden your systems so this doesn’t keep happening. We fix the fire, then fireproof the building.- Custom documentation standards for your EHR
- Internal monitoring system your team can sustain
- Response playbook for when letters arrive
- Trained core team ready to execute
Priced as a fraction of a single major payer exposure.
Documentation & Monitoring
Continuous vigilance beats crisis response. Ongoing support to maintain audit-readiness and catch issues before payers do.- Quarterly chart sampling and review
- Trend analysis and risk identification
- Staff training and competency programs
- Annual mock audit drills
From $1.1M Demand to $87K Resolution
A payer’s audit of 30 charts produced a $1.1 million extrapolated recoupment demand. The facility had 60 days to respond.
We mobilized within 72 hours. Our team reviewed every sampled chart, distinguished genuine documentation gaps from mischaracterized records, and built a systematic appeal. We challenged the statistical methodology, demonstrated medical necessity for services rendered, and negotiated directly with the payer’s audit team.
Five months later, the final settlement was $87,000—a 92% reduction from the original demand.
Revenue Guard Audit Exposure Toolkit
Calculate your risk. See where you stand.
A comprehensive self-assessment and framework for PHP, IOP, and SUD programs. Quantify your exposure, identify your risk zone, and get actionable strategies for protection.
- Self-assessment calculator to quantify your exposure
- Green / Yellow / Red risk band framework
- Documentation standards that prevent findings
- First 72 hours response checklist
- Case studies with quantified outcomes
Get My Audit Exposure Toolkit
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Audit-Ready Cash Protection Sprint
A 6–8 week engagement to build audit-ready systems inside your organization.
What You Get
Concrete deliverables, not open-ended consulting
Core Deliverables
- Audit Exposure Snapshot — Analysis of your payer mix, revenue concentration, and vulnerability points
- Custom Documentation Standards — Templates and checklists tailored to your levels of care and EHR
- Internal Monitoring System — Sampling plan, audit tools, and tracking processes your team can sustain
- Response Playbook — Roles, timelines, and workflows for when an audit letter arrives
- Trained Core Team — Your staff will have rehearsed the response process before it’s needed
Priced as a fraction of a single major payer exposure. Most engagements are justified when estimated audit risk is at least 10× the implementation cost.
30-Minute Audit Risk Assessment
Complimentary consultation to evaluate your current exposure and identify priority areas. No obligation, no sales pressure—just a clear-eyed assessment of where you stand.
If you are in an active review, do not wait until the payer sets the terms of the outcome.