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

Services

  • 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

Comprehensive Solutions

  • 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

Benefits

  • 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.

 

Ready to get rac contractors off your back?

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interested in RAC team training?