What will be your RAC losses?

RAC audits as directed by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 have one goal: Recover overpayments for Medicare.

RAC* status report said:
• Most hospitals will lose less than 2.5% of their Medicare revenue.
• One state had 18% of their hospitals losing over 10% of their Medicare revenue.

As of October 2007, your liability started growing and will continue to grow until:
• You proactively stop this growth and/or,
• The RACs take away your revenue.

Most of your revenue the RAC’s will take away is revenue you have earned and deserve.
You have this liability due to:
1. Insufficient documentation to support
• Coding
• Medical necessity
2. Incorrect coding
• Insufficient coder education
• Coding staff shortages
3. Data Issues
• Outdated/incorrect Charge Description Master entries
• Incorrect data capture
• System interface issues

YPRO’S PROACTIVE RAC-AIDE SERVICES PREVENT LOSSES!

Here’s the difference:

YPRO’s RAC-AIDE PROACTIVE Services >>

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