Are you ready for RACs?
Now that the Centers for Medicare and Medicaid Services (CMS) has established the Recovery Audit Contractors (RACs) as a permanent program, it’s critical that hospitals assess their areas of risk and take proactive steps to minimize compliance exposure on an ongoing basis.
How 3M helps
RAC Advanced Services
3M Health Information Systems, McKesson and Executive Health Resources (EHR) have partnered to help hospitals prepare for and manage the Recovery Audit Contractor (RAC) audit process.
RAC Advanced Services combine 3M’s expertise in coding, billing and DRG assignment with McKesson’s application of industry standard InterQual® medical necessity criteria, and EHR’s expert teams of specially trained Physician Advisors who provide second-level reviews for medical necessity. The integrated services help hospitals:
- Uncover potential RAC audit risks and compliance exposure with a comprehensive assessment
- Identify gaps and recommend an action plan for addressing areas of highest potential risk
- Establish processes to help prevent future compliance issues and avoid reduced reimbursement from RAC initiatives
Read more about RAC Advanced Services.
RAC Management Tool
The RAC Management Tool in the 3M™ Audit Expert software helps to improve an organization’s ability to respond quickly and efficiently to Recovery Audit Contractor (RAC) requests, defend claims through the appeals process, and identify and understand any areas of risk in both the inpatient and outpatient settings. As part of 3M Audit Expert, providers can help reduce their risk of RAC audits by reviewing 100 percent of inpatient records for compliance errors at the point of coding. Customizable coding alerts, retrospective auditing capabilities, and the ability to trend a facility or health system against national norms (e.g., PEPPER and MedPAR) are also risk prevention features of 3M Audit Expert.
Read more about 3M Audit Expert software.
Learn how you can prepare for RACs with the following news and information:
News
Other Resources
Tips for preparing for RAC audits (PDF 310 KB)
RAC Advanced Services (PDF 1.38 MB)
3M™ Audit Expert System (PDF 111 KB)
3M™ ChartRelease™ Software
3M™ ChartView™ Software
To speak with a 3M Sales Representative about preparing for RACs, contact us.
