As a hospital or healthcare organization that submits claims to Medicare, you may be subject to a Recovery Audit Contractor (RAC) audit.
Many hospitals report widespread RAC process problems, placing a burden on the billing department, and RAC requests continue to increase. RACS are paid a commission on the dollar amount of the claims they deny, although, some RAC denials may be inaccurate. Appealing incorrect denials can be costly and time consuming, adding an additional resource drain on your billing department. Partnering with HRCS audit review specialists can help your organization reduce the risk associated with RAC audits.
The RAC program has recouped $2.5 billion in claims denials.
-American Hospital Association
Experts to help you navigate through the process
HRCS has successfully helped companies with RAC audits and appeals since the program’s inception in 2003.
Our team of experts will analyze your data to solve your carrier processing errors, as well as analyze all your denials to see if they are accurate or inaccurate. We will also handle all documentation, prepare responses, receive and validate requests, ensure delivery to the auditors, and track all appeals.
Not only will we reduce your RAC risk, but we will improve your revenue cycle processes to optimize your collections.