PROTECT WHAT YOU'VE ALREADY EARNED

The Revenue Cycle focuses on collecting payment. The Revenue Re-cycle is the ongoing process of protecting that payment after it has been earned. From Medicare audits like RAC, QIO, TPE, and CERT to commercial auditors like Optum, MedReview, Humana, and Cotiviti, OnTarget Revenue replaces fragmented audit handling across facilities with a unified, enterprise-wide process—from audit intake through appeal management—delivering permanent, organized, and consistent revenue preservation at scale.

Most organizations divide post-payment audits into administrative work and clinical review. OnTarget Revenue eliminates much of the administrative workload by receiving Medicare correspondence directly from CMS through esMD and automatically processing commercial documents placed in your secure Dropbox. The platform identifies, organizes, routes, tracks, and manages each case, while AXIS | Audit Intelligence performs the detailed clinical analysis. Your team can focus on reviewing recommendations and moving more appeals forward instead of performing repetitive intake, data entry, and case administration.

Audit and Appeal Work	Traditional Clinical/Admin Team	OnTarget Revenue + AXIS
1. Intelligent Intake and Case Creation OnTarget Revenue receives and processes incoming audit and denial correspondence.
Receive Medicare audit correspondence directly from CMS through esMD	Staff monitors multiple sources and manually retrieves documents	Direct esMD Intake
Receive commercial audit, denial, and result documents placed in the secure Dropbox	Staff opens, reviews, renames, and distributes each document	Automated Processing
Identify the auditor, document type, account, claim, dates, and required action	Manual document review and data entry	AI Classification and Extraction
Create or update the audit case and attach the source documents	Manual case creation and document filing	Automatic Case Creation
Route the case to the correct hospital, region, audit type, and team member	Manual sorting, assignment, and follow-up	Automatic Routing
2. Automated Workflow and Deadline Management OnTarget Revenue manages the administrative workflow after each case is created.
Track auditor-specific deadlines, receipt rules, response periods, and required actions	Manual calendars, spreadsheets, and worklists	Continuous Deadline Tracking
Notify each team member of pending work and the number of days remaining	Manual follow-up and deadline checking	Daily Automated Alerts
Maintain one organized case record containing correspondence, patient records, notes, deadlines, and appeal activity	Information spread across emails, folders, spreadsheets, and separate systems	Unified Case Record
Record audit activity and required updates in the connected HIS / EMR workflow	Repetitive manual documentation	Automated Documentation
3. Clinical Review and Appeal Intelligence AXIS | Audit Intelligence performs the detailed review traditionally assigned to experienced clinical staff.
Read the audit or denial letter against the complete patient record	Extensive manual clinical review	Completed in minutes
Identify defensible appeal opportunities supported by the patient record	Experienced clinical reviewer required	Opportunities identified
Determine the strongest case-specific appeal strategy	Experienced reviewer required	Case-specific guidance
Develop the appeal argument and supporting clinical rationale	Labor-intensive research and writing	Appeal foundation generated
4. Appeal Production, Submission, and Results OnTarget Revenue manages the remaining appeal process and records the final outcome.
Generate the cover letter and combine the appeal and supporting documents into one submission-ready PDF	Manual writing, document collection, and PDF assembly	Automated Appeal Package
Route the appeal through the auditor’s required delivery method	Manual portal, fax, mail, or submission handling	Managed Submission
Process appeal result letters and match them to the correct case	Manual review, account matching, and data entry	AI Results Processing
Update the appeal outcome, case status, decision date, and financial result	Manual case updates	Automatic Case Updates
Track audit activity, appeal outcomes, trends, deadlines, and financial performance across every facility	Manual reports assembled from separate systems	Enterprise Reporting