Minimizing RAC Impact

  • Prepare for RAC reviews and meet all RAC compliance requirements.
  • Minimize future RAC audits in areas of concern.

PayerLogicLogoRecovery Audit Contractors (RAC) are having the latest legislatively sanctioned impact on provider reimbursement and revenue.  Estimates suggest over 30% of all records reviewed by RAC’s have resulted in overpayment findings.  However, the impact can be minimized – and even responsively managed – with PayerLogicsm RAC Response.

With PayerLogic RAC Response, you can leverage Human Arc’s decades of experience and expertise in denials management, appeals and claims adjudication to prepare successfully for RAC reviews and track all reviewed accounts within RAC guidelines.  We support your efforts to improve in-house processes to meet RAC compliance requirements and minimize future audits in areas of risk.  More importantly, PayerLogic RAC Response clients benefit from the industry’s most experienced denials management and appeal team, including clinical, billing and other administrative staff support and expertise.

Advantages of Human Arc PayerLogic RAC Response

Dedicated staff:

  • Experienced administrative staff.
  • Certified (CPAT), coding and billing staff.
  • Knowledgeable clinical specialists (RN’s, LPN’s).

Average 80% - and often higher - success rate on traditional claim appeals:

  • Ability to leverage our 14 years of experience with the Medicare appeals process and our established payer relationships to achieve top results.
  • Accurate workflow processes that adhere to RAC guidelines and due dates.

Technical expertise:

  • Knowledge of major hospital systems enables quick implementation and expedites prompt RAC response.

Detailed Tracking and Reporting:

  • Established tools to capture RAC receipt dates and response activity for each process step.
  • Ability to maintain and retrieve all electronically received documentation.
  • On-line, 24/7 reporting to you of all referred RAC accounts, documenting activity and results.

 

To optimally protect your Medicare reimbursement,

ask for PayerLogic RAC Response.

The industry does.


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