RAC Audit Optimization
Reclaim lost reimbursements by partnering with HRG's team of RAC experts able to navigate the complex RAC process with ease.
Recovery Audit Contractor (RAC) activity and RAC-related costs continue to rise resulting in huge administrative burdens. Prevent future costly audits and strengthen your HIM team with HRG's customized RAC training, CDI services and validation audits.
- manage appeals process
- monitor timelines and deadlines
- appeal determination and letter preparation
- custom education and training programs
- identification of specific trends requiring immediate attention
- address risky clinical documentation and coding trends
- policy and procedure optimization
- define best practices for clinical documentation
- determine if appeal is indicated
- research issues identified in RAC demand letter
- provide recommendations for appeal with supporting code and references
- deliver detailed findings reports
- overturn denials
- resolve underpayments
- prevent risk of future RAC audits and denials
- reclaim lost reimbursements
HRG Quality Difference
HRG's denials management team has the expertise needed to successfully navigate the complex RAC process; juggling numerous tasks with overlapping timelines and working with your team to prevent denials by coding correctly the first time.