Peregrine RAC Audit Readiness Assessment™
Know Where Your Practice Stands Before an Auditor Does
Medicare oversight is becoming increasingly data driven. Complete this complimentary 5-minute assessment to evaluate your practice’s RAC audit readiness and identify opportunities to strengthen documentation, coding, compliance, and revenue cycle performance.
Estimated Completion Time: 5 Minutes
Why RAC Audit Readiness Matters Now
Medicare’s approach to identifying and recovering improper payments continues to evolve.
According to the Centers for Medicare & Medicaid Services (CMS), Medicare Fee-for-Service Recovery Audit Contractors (RACs) identified approximately $486.6 million in overpayments in FY2024 and recovered approximately $382.2 million. CMS reported that recoveries increased from FY2023 as RACs identified and pursued new vulnerabilities and review limits for existing RAC topics were increased, allowing more claims to be reviewed.
CMS also maintains an expanding list of approved RAC review topics covering areas such as medical necessity, documentation requirements, coding, excessive units, and other potential improper-payment vulnerabilities.
For physician practices, the takeaway is simple: proactive compliance matters more than ever.
Documentation deficiencies, medical necessity issues, coding inconsistencies, unusual utilization patterns, and weak audit-response processes can create unnecessary financial exposure.
The best time to identify those vulnerabilities is before an audit does.
Why RAC Audit Readiness Matters Now
Medicare’s approach to identifying and recovering improper payments continues to evolve.
According to the Centers for Medicare & Medicaid Services (CMS), Medicare Fee-for-Service Recovery Audit Contractors (RACs) identified approximately $486.6 million in overpayments in FY2024 and recovered approximately $382.2 million. CMS reported that recoveries increased from FY2023 as RACs identified and pursued new vulnerabilities and review limits for existing RAC topics were increased, allowing more claims to be reviewed.
CMS also maintains an expanding list of approved RAC review topics covering areas such as medical necessity, documentation requirements, coding, excessive units, and other potential improper-payment vulnerabilities.
For physician practices, the takeaway is simple: proactive compliance matters more than ever.
Documentation deficiencies, medical necessity issues, coding inconsistencies, unusual utilization patterns, and weak audit-response processes can create unnecessary financial exposure.
The best time to identify those vulnerabilities is before an audit does.
What Does the Assessment Evaluate?
The RAC Audit Readiness Assessment evaluates your practice across six critical areas:
Documentation Excellence
Does your documentation consistently support medical necessity and the services billed?
Coding Accuracy
Are coding practices routinely reviewed for accuracy and compliance?
Revenue Cycle Monitoring
Are denials, billing patterns, high-risk services, and other trends being monitored proactively?
Compliance Program
Does your practice have the policies, education, and corrective-action processes needed to manage compliance risk?
Audit Response Readiness
Would your team know exactly what to do if an Additional Documentation Request (ADR) arrived tomorrow?
Data Analytics & Risk Detection
Are you using your own revenue cycle data to identify unusual trends and vulnerabilities before an outside reviewer does?
What You’ll Receive
After completing the assessment, you’ll receive a personalized RAC Audit Readiness Report that includes:
- Overall RAC Audit Readiness Score
- Scores across all six assessment categories
- Visual breakdown of strengths and vulnerabilities
- Potential areas of financial exposure
- Personalized recommendations
- Your top three priority actions
No generic checklist. Your results are based on your practice’s responses.
Who Should Complete This Assessment?
Designed for:
- Physicians
- Practice Administrators
- Office Managers
- Revenue Cycle Directors
- Billing Managers
- Compliance Officers
Find Your Gaps Before an Auditor Does
Five minutes can help uncover documentation, coding, compliance, or revenue cycle vulnerabilities that may deserve attention before your practice receives an audit request.
Complimentary | Approximately 5 minutes to complete
About Peregrine Healthcare
Peregrine Healthcare has supported physician practices since 2001 with revenue cycle management, coding and auditing, credentialing, payer contracting, practice operations, and strategic consulting.
Our goal is not simply to help practices collect revenue, but to help protect it through stronger processes, proactive oversight, and experienced revenue cycle support.
Sources & Additional Resources
Centers for Medicare & Medicaid Services (CMS)
Medicare Fee-for-Service Recovery Audit Program
https://www.cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medicare-fee-service-recovery-audit-program
Centers for Medicare & Medicaid Services (CMS)
Approved RAC Topics
https://www.cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medicare-fee-service-recovery-audit-program/approved-rac-topics
Centers for Medicare & Medicaid Services (CMS)
Medicare & Medicaid Program Integrity 2024 Report to Congress
https://www.cms.gov/files/document/fy2024-medicare-medicaid-report-congress.pdf
This assessment is intended as an educational resource and does not constitute legal advice or guarantee that a practice will not be selected for an audit.