If your facility was subject to a Recovery Audit Contractor (RAC) Audit tomorrow, would you be ready? 
RAC audits have the potential to
cost your organization millions of dollars. Not only do you have to worry about paying for
overpayment determinations, conducting the audit in the first place can be outrageously
expensive.
The Solution for Managing a RAC Audit:
With RAC Audits looming, You can’t afford to be unprepared. With our RAC Audit Tracking Solution, however, the audit process is easier for you and you have
the information to prevent overpayment determinations.
The RAC Audit Tracking Solution manages the audit process from beginning to end so your business never misses a
deadline or needs to hire additional staff to address the audit requirement.
Instead of manually pulling documents and tracking progress on a spreadsheet, you manage
the entire audit—documents and progress—in an easy-to-view dashboard. You don’t search through piles of paper or track requests
individually. You complete the audit on time and
without more people.
Once an auditor’s request is received, OnBase auto-calculates requests and tracks the steps
to be completed, who it’s assigned to, expected completion date, appeal dates and more. A
dashboard view of all requests clearly shows the time remaining to complete the next step.
- Automatic e-mail notifications keep the process moving and remove hold-ups.
- Management views provide average processing times that drill down by specific
criteria to identify and correct current bottlenecks.
- The solution preserves historical activity of the entire audit so you can determine
trends and weaknesses in the RAC response, and your next audit can be even more
efficient.
All the Information to Prove Your Case in a RAC Audit
RAC auditors find overpayments when there is a lack of proof of medical necessity. Without
the right information (lab results, clinical information, progress notes, etc.), you don’t have
the proof to prevent overpayment determinations. OnBase enables you to store all of this
information in a central repository—no more worrying about missing documents.
By scanning in paper and importing data from disconnected systems, you go to a single
repository when an auditor comes in. You have all the information to justify all of the
payments you deserve all in one place. During an appeal, the more information you have,
the greater your chances of winning.
The Payoff of Being Prepared for a RAC Audit
- Prevent lost revenue due to overpayment findings
- Respond to RAC auditors’ requests within timelines
- Eliminate need to hire staff to manage audits; minimize audit expenses
Prepare your business today to address RAC Audit Requirements. The potential for lost revenue is largely dependent on your ability to prove medical necessity, and easy, streamlined access to that information can help to save millions of dollars.
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