Solution · Compliance & audit readiness

Audit-ready every day.Not just survey week.

The letter arrives on an ordinary Tuesday and asks for forty charts. The facilities that read it calmly are the ones whose documentation was already checked, every document, as it was produced: continuously with a connected EMR, on demand for uploads.

The operating loop

Find. Fix. Prevent. Prove.

1

Find

100% audit coverage — every document, continuous when your EMR is connected, on demand when you upload. Across 21 compliance dimensions.

2

Fix

Findings become assigned tasks with severity and due dates. Nothing ages out silently.

3

Prevent

Recurring findings become assignments in Coach, the training tool built into Compliance Agent, so the next note is right the first time.

4

Prove

Executive summaries, facility scores, and a complete resolution trail: evidence of a working compliance program.

A rehab team reviewing documentation together
Survey week should never be a scramble.
What is actually at stake

A single payer audit event can mean $50K–$500K in recoupment demands.

In one HHS-OIG audit, 99 of 100 sampled SNF claims failed Medicare requirements — $1.1 million in overpayments on the sample alone.

HHS-OIG report A-02-22-01017 (PDF)

Grounded where it counts

Every check cites its regulatory source: 42 CFR coverage rules, the Medicare Benefit Policy Manual, Jimmo v. Sebelius, PDPM requirements including the SNF PPS final rules and the MDS 3.0 RAI Manual, and state practice acts. When your team dismisses a finding, they document why, and that judgment trail is part of your defense.

FAQ

Frequently asked questions

How does CareDocs.ai keep us continuously survey-ready?

Every document is audited against the same 21 dimensions Medicare reviewers care about: continuously when your EMR is connected, on demand when you upload. Findings carry evidence and citations, get assigned as tasks, and are tracked to resolution. At any moment, leadership can see exactly where the facility stands.

What happens when a payer requests documentation (ADR)?

Your documentation has already been through the checks: medical necessity, plan of care, signatures and authentication, timeliness. And our Compliance & Audit Readiness service can support response preparation when a request does arrive.

Can leadership see across buildings?

Executive summaries and facility scores keep the DOR, regional leaders, and management current without reading individual findings, and multi-facility reporting rolls the picture up across your portfolio.

How do we stop the same findings recurring?

That’s the Coach loop: when audits surface a recurring issue, assign the specific content pack that addresses it. Scores show whether the training worked. Findings drop because the documentation improves at the source.

Run your first audit this week.

No integration required: the audits begin the day you sign up. Bring a case you know well, we'll document the eval together, and you'll watch the finished note go through the audit with evidence, severity, and citations included.