Prove the clean claims before an auditor asks.
WardTrace gives every RPM encounter a pre-bill evidence packet: contradictions for the broken claims and durable proof for the honest majority.
The number that should worry every RPM vendor
In its 2024 audit of Medicare remote patient monitoring, the HHS Office of Inspector General found that about 43% of enrollees did not receive all three required components of RPM. Read the OIG report. That is not a fraud statistic. It is a completeness statistic, and completeness is exactly what an auditor extrapolates across a book of business.
If a payer claws back, the vendor eats it. The problem with a clawback fight is not that the vendor is guilty. It is that the vendor usually cannot prove it is innocent, encounter by encounter, with records assembled after the fact.
A small sample can become a book-wide problem.
When an audit measures an error rate on a sample and extrapolates it, every clean claim without contemporaneous proof is exposed. WardTrace helps collapse that uncertainty by attaching a timestamped packet before any dispute exists.
Catch it before you bill
Every RPM claim has five things that must be true: an active physician order, patient consent, a device serial that matches the readings, enough transmission days, and physician review. Our engine checks all five against the records around the claim and emits one bundle per encounter. Contradictions are typed and sourced: the rule that fired, the records that disagree.
A flagged claim never becomes an automatic denial. It routes to your human review before it goes out the door. You decide what to file. You keep the bundle data.
The exculpatory side: certification packets for clean claims
This is not only a fraud tool. Most of your encounters are clean, and today you have no proof of that beyond your own records. For every clean encounter you get a certification packet: the same tamper-evident bundle, showing every check passed, timestamped before any audit existed. When a payer asks questions, you hand them the packet instead of a promise.
This is the larger promise: not only “catch the cheater,” but “prove the honest provider was honest.”
The pricing is meant to be obvious
One flat subscription of $1 to $3 per device, per month. No cut of recoveries, no per-claim fee, and no incentive to over-flag. The cost is predictable even when findings change.
What a pilot looks like
We are at prototype stage, measured on a synthetic corpus. The first step with any vendor is a calibration pilot on your own data: we run the rules, measure precision on your claims, and report your numbers to you. We will not quote synthetic precision as field performance, and you should not accept that from anyone.