RACs
Recovery Audit Contractors (RACs)
Let MedLearn help you understand and prepare for RACs. We'll help you protect
your bottom line. We provide focused analysis on the same areas targeted
by RAC audits. We'll perform a customized MS-DRG improper payment risk analysis
on your data and measure it against the Centers for Medicare & Medicaid
Services (CMS) benchmark reports. This provides the data you need to proactively
address areas of financial exposure.
Client Benefits
- Understand and manage improper payment risk
- Establish RAC performance plan and benchmarks
MedLearn Approach and Objectives
Data Analytics and Findings:
- Analyze your at-risk MS-DRGs targeted by the RACs
- Validate medical necessity risk, coding risk and opportunities
- Conduct onsite, mini-operational assessment identifying gaps in people,
process, and technology to analyze root causes contributing to improper
payment
Implementation and Reporting
- Establish accountable performance improvement plans
- Implement internal controls and monitoring plans
- Report and measure progress through key metrics and benchmarks
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