OnTarget Revenue delivers a fully automated, end-to-end solution for managing commercial post-payment audits—including those from Optum, Cotiviti, and other commercial payers. Our platform provides a unified experience that mirrors Medicare audit workflows, while managing backend variations like fax, portal, and postal delivery automatically.

Fully Automated Commercial Audit Management

• Dropbox Intake: Audit letters are securely uploaded and automatically logged—ensuring proper routing by entity or facility.
• ADR Letter Processing: Requests are captured from incoming letters and processed via fax, payer portals, or mail depending on requirements.
• Results Letter Categorization: Audit outcomes are extracted, classified, and linked to original claims for accurate tracking.
• Appeal Management: Level 1, 2, and 3 appeals are supported through structured workflows tailored to each commercial payer.
• Remittance Tracking: Commercial 835s are monitored for recoupments, payment reversals, and appeal wins—keeping revenue cycle informed.
• HIS Posting: Audit events and appeal notes are posted back to your HIS, reducing manual entry and improving documentation quality.

One Process for All Auditors

Your staff works in a standardized interface. Our platform handles the behind-the-scenes variations—so regardless of whether a payer requires fax, portal upload, or hardcopy mail, your team follows a single process with automated delivery built in.

Why Full Automation Matters

• Consistency: One interface, one workflow—no retraining needed across payers or appeal types.
• Speed: Audit intake, response deadlines, and appeal prep are handled faster than manual tracking allows.
• Accuracy: Eliminates data entry errors and ensures audit decisions are properly documented and routed.
• Appeal Visibility: Monitor outcomes across all appeals in real time with payer-specific tracking and analytics.
• Audit Protection: Audit history and actions are time-stamped and searchable—critical for internal QA or payer escalation.

OnTarget Revenue lets you scale your commercial audit operations without scaling your audit staff—automating what matters so you can focus on overturning denials.