Understand the notice
Sort the type of review, identify the next step, and build an action plan with owners, evidence needs, and deadlines to verify.
Medicare audit readiness · Plugin preview
Arclight Readiness Navigator
A clearer next step for Medicare review.
Prepare your practice before a notice arrives, or turn a de-identified Medicare notice into a practical action plan. Organize the evidence, identify the gaps, and prepare the questions that need human review.
Built for small practices, wound-care providers, and revenue cycle teams. Use de-identified or synthetic information only.
Marketplace release is being prepared. This page introduces the plugin and provides support information. A marketplace installation link will be added after publication.
Six focused workflows
Make the work easier to see.
A notice, a chart, and a denial decision each tell part of the story. The Navigator helps your team organize those pieces into a readiness plan and working drafts for review.
Connect the evidence
Map the wound-care episode over time: treatment history, measurements, clinical rationale, and gaps that need provider validation.
Find risks and plan corrections
Create a candid internal review of record vulnerabilities and corrective actions while preserving the original documentation.
Prepare a focused response
Organize a reviewer-facing response framework around the requested record, longitudinal evidence, and issues that need human review.
Compare denial rationales
Track what changed between decisions, what was addressed, and what remains unresolved before preparing the next response.
Plan the appeal pathway
Identify evidence and preparation needs for later stages, with a qualitative outlook grounded in the available information.
Internal risk analysis and reviewer-facing drafts serve different purposes. The Navigator keeps them distinct while emphasizing a complete requested record, accurate citations, and transparent corrections.
Start with your question
You can prepare without uploading records.
Begin with a blank checklist or a practice-level workflow description. These example prompts show the kinds of work the plugin is designed to support in ChatGPT and Codex once installed.
Before a notice arrives
Help our small wound-care practice prepare for a Medicare audit without uploading patient records.
When a notice arrives
Triage this de-identified Medicare notice and build a readiness plan for deadlines, owners, and evidence.
Before the next appeal
Compare these abstracted denial rationales and show what to prepare before the next appeal level.
Before using the public edition
Keep patient information out of the chat.
Use de-identified or synthetic information only. Removing a name alone does not establish de-identification. Do not provide patient records, protected health information, credentials, or other restricted information.
The plugin itself does not connect to an Arclight server or send conversations or files to Arclight. OpenAI processes entered content under your applicable agreement, workspace configuration, and data controls. Other enabled tools and user-directed sharing may have separate data flows.
Read the plugin privacy provisionsHuman review remains part of the work.
The Navigator supports educational, organizational, and drafting-readiness work. It does not submit appeals, determine coverage, provide legal or clinical advice, or guarantee an outcome.
Verify deadlines, filing instructions, authorities, citations, and factual statements against the actual notice, current official sources, and original record. Provider validation, compliance review, an appeals specialist, or qualified healthcare counsel may be needed.
Read the plugin termsPlugin support
Questions about the Navigator?
Arclight Action Public Benefit Corporation publishes Arclight Readiness Navigator, the Arclight Medicare Audit Readiness Navigator plugin.
For plugin support or questions about an approved healthcare workflow, email us without attaching patient records or PHI. Arclight does not have access to your plugin conversation.
Call or text: 737-330-1126 · Text
info@arclightaction.comCan I use it with identifiable records?
The public edition is limited to de-identified or synthetic information. Identifiable-record work requires a separately approved eligible environment, applicable agreements including a business associate agreement where required, and appropriate safeguards. A BAA alone does not approve every feature, plugin, connector, or workflow. Arclight’s BAA and security controls do not cover your public plugin chat.
A later professional engagement, required authorizations and agreements, and approved secure intake must be arranged separately before identifiable information is shared. Arclight is not a law firm.
Does the plugin file an appeal for me?
No. It helps organize preparation and working drafts. Final record verification, authorized filings, submission, and tracking remain in your approved workflow.
Where will I find the installation link?
We will add the marketplace link here after publication. This preview page does not indicate marketplace approval or current installation availability.