You might think your medical coding is on point… claims are going out, payments are coming in, and no red flags are waving.

But here’s the truth:

Most practices don’t know they have a coding problem until it’s too late.

That “wake-up call” often comes in the form of a RAC audit (Recovery Audit Contractor) and by then, the damage is already done.

What Is a RAC Audit, and Why Should You Care?

RAC audits are designed to identify and recoup overpayments made to providers by Medicare.

These auditors are paid based on what they recover, which means they are financially incentivized to find errors, even small ones.

They comb through your claims after the fact, looking for incorrect coding, lack of documentation, or inconsistent billing patterns. And if they find issues? You could be looking at:

✔️ Recouped payments

✔️ Penalties and interest

✔️ Damaged payer relationships

✔️ Hours of lost productivity

AI Can Help, But It’s Not a One-and-Done Solution

There’s a lot of buzz about AI and automation in medical coding—and yes, AI tools are improving efficiency.

But here’s the catch: AI still needs human oversight.

AI is only as good as its rules, logic, and data inputs. It can’t:

❌ Understand nuanced clinical documentation

❌ Catch context-specific coding rules

❌ Defend your practice in an audit

That’s where expert coding audits come in.

Why Peregrine’s Coding Audits Are Different

At Peregrine Healthcare, our audits aren’t just about compliance, we help protect your revenue, reputation, and readiness for any audit.

✔ Audits performed by AAPC-certified coders

✔ Identify coding trends and potential under-coding or over-coding

✔ Provide clear, actionable feedback to prevent future issues

✔ Uncover missed revenue opportunities

✔ Support cleaner claims, fewer denials, and better payer relationships

Don’t Wait for a RAC Letter to Clean Up Your Coding

RAC auditors are hunting for every dollar they can recoup and they will find what you miss.

A proactive coding audit with Peregrine means you find the issues first and fix them.

📞 Ready to safeguard your revenue and reduce risk?