Wednesday, December 5, 2012

Creating an Efficient - and Effective - RAC Response

HFMA Published an article on "Creating an Efficient - and Effective - RAC Response" and how one hospital has designed an approach on how to manage their RAC audit activity.  The article stated that:
  • RAC Spending has Increased from the end of 2011 to the beginning of 2012.  
  • Hospitals needed a way to manage their RAC audit activities
The following are ways that Ministry Health in Wisconsin managed their RAC audit activities.
  • Dedicate staff to RAC process management
  • Manage the data flow related to RAC requests and meet deadlines for appeals with a tracking database
  • Use a document management system to convert patient records into electronic files and scan documents for critical information.
  • Track the time spent on RAC process management activities.
  • Expand the team’s efforts to include review of audits from commercial payers.

To download the full article, please click the following link: Creating an Efficient and Effective RAC Response

For additional billing and coding resources, please click the following link: Medical Reimbursement, Inc. Resources

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