RAC Administration Solution is designed to make a complex auditing situation manageable in one central location by auto-calculating dates within the audit process, auto-sending internal notifications, managing tasks, tracking communications, storing documentation, containing contact information and quick-glance reporting.
Dashboards provide an overview of the status of all RAC audits, cash flow, high risk areas and the ability to drill down on the problem areas to quickly identify and correct bottlenecks. The solution is American Hospital Association, AHA, RACTrac certified for reporting accurate quarterly data.
• AHA RACTrac compatible creating a “no worry” environment pertaining to collecting quarterly data
• Prevent lost revenue due to deadlines being missed
• Eliminates the need to hire staff to manage audits: minimizing audit expenses
• Patient data back-loaded for 3 years allowing for minimal manual entry of claims being audited
Key Benefits
Business Application
• Audit Tracking: HIM departments can easily track all timelines associated with a claim going through one or many audits processes by searching for the patient data, selecting the type of audit and filling in the records request information. All documentation, letters sent to and from the auditor, can be captured and tracked within the solution .
• Cash Flow Tracking: By leveraging the dashboards, the CFO, or other financial departments, can monitor total dollar amounts received or lost due to the audit process or total amount that is currently being audited. The dashboard can also show the year-over-year and quarter-over-quarter trending.
• Planning Ahead: Using the Admin dashboard, RAC Managers can see the total audits that have an action required within the upcoming 45 days period and trending pertaining to the number of audits received within the past 45 days. This will allow managers to have enough staff available for quick response.
