One platform for inventory, production and industry-standard RCM audits
Control every claim in your pipeline, measure what your team actually produces, and score quality against a department-specific criteria library with severity weightage and unique Track IDs — the way RCM compliance teams truly measure accuracy.
How the audit workflow runs
Three steps, fully auditable end to end.
Auditor picks date, staff, client, department and process. Saving generates a unique Track ID (e.g. AUD-MC-260819-0007) and puts the audit in progress.
Audit category and error type dropdowns load only the criteria mapped to that department. Severity — Critical, Major, Minor — and its weightage auto-populate. Mark each line Pass or Fail.
Running totals show lines, total weightage, earned score and live accuracy. Finish audit freezes the result; managers and admins can still correct it with full change tracking.
Accuracy % = sum of weightage on Pass lines ÷ sum of weightage on all lines × 100.
A failed Critical error (weightage 10) costs five times a failed Minor (weightage 2), so the score reflects real client and payer risk. Scores at or above the 95% pass mark show green; anything below shows red across every screen and export.
Audit standards across every RCM department
A seeded criteria library covers the full revenue cycle, each with its own categories, error types and severity weightings.
Code assignment, modifier usage, diagnosis specificity, documentation support, productivity.
Claim status accuracy, payer follow-up notes, next-action correctness, aging discipline.
Payment and adjustment accuracy, ERA/EOB handling, denial code posting, balance reconciliation.
Coverage verification, plan and benefit capture, COB checks, documentation completeness.
Auth requirement checks, submission accuracy, follow-up cadence, approval documentation.
Application accuracy, payer enrollment tracking, expirable monitoring, record integrity.
Call opening and verification, HIPAA compliance, resolution accuracy, soft-skill standards.
Demographic accuracy, charge capture, payer and provider mapping, turnaround.
Appointment accuracy, insurance capture, patient communication, cancellation handling.
Everything else your operation runs on
One Track ID per audited case, with unlimited criteria lines, comments and file attachments. Duplicate category and error-type pairs are blocked on the same audit.
Critical 10, Major 5, Minor 2 — pulled from the department criteria master, read-only to auditors so scoring stays consistent across the floor.
Completed Track IDs, weightage earned versus total, overall accuracy, error-type distribution and trends by client, department, process and auditor.
Staff log count, hours and minutes, and a production reference against mapped targets and measure types. Production %, count per hour and totals update as you type.
Log inventory received and completed by client, department and process. Pending calculates automatically, and the inventory dashboard rolls it up across the company.
Every audit, production and inventory edit records who changed what, when, and from which value — filterable by date range and exportable for compliance reviews.
Super admin, admin, manager, auditor and staff roles with tiered sign-up approvals. Auditors see only open work; managers see their team; admins govern the company.
Clients, departments, processes, measure types and every entry are partitioned by company code. Super admins switch context to configure any organization.
Export audits with Track ID and accuracy plus a line-level sheet, and download production, inventory and change history reports for any date range.
Designed for every RCM role
Each person gets the right view and the right controls, so the audit trail stays clean and the data stays scoped.
- StaffLog daily production and inventory work and review the audit results raised on their own cases.
- AuditorOpen Track IDs, score criteria lines, attach evidence, add comments and finish audits.
- ManagerApprove auditor access, correct audits with tracked edits, and watch accuracy against the 95% pass mark.
- AdminBuild masters, map users to clients, departments, processes and targets, and export compliance reports.
Why companies choose RCM Trackz
Weighted criteria and a fixed severity scale mean two auditors grading the same case land on the same number.
Error types roll up by category, department and client, so you see which failure is actually driving denials.
Track IDs, attachments, comments and a full change log make client and compliance reviews a download, not a project.
Production, inventory and quality live together, so achievement % and accuracy % come from the same source of truth.