Recovery Audit Contractor (RAC) Preparedness Review
The objective is to assist the hospital in identifying areas vulnerable to RAC audits and to prepare for upcoming RAC reviews. The goal is for the hospital to successfully manage and respond to the RAC initiative.
The following services could possibly include:
- Identify RAC vulnerabilities.
- Obtain an electronic download of Medicare paid claims identified through "data-mining" the targeted RAC areas.
- Perform on-site review of a sample of claims that were identified as RAC targets.
- Provide on-site training regarding the potential problem areas.
- Follow-up with web-based training specific to identified needs.
- Internal hospital trainers could possibly have access to follow-up training and support through the consultant.