Support your strategy for addressing RAC audits using MedAssets’ experience and proprietary, best-of-breed revenue cycle management solutions. Leverage MedAssets’ expertise in medical necessity documentation, clinical appeals recovery and Medicare reimbursement management. 

Target the entire RAC audit process – from assessment to appeal – and beyond to address overall revenue integrity solutions for long-term financial performance improvement.  Be prepared for all five CMS review programs, and monitors the status of the audits for all of the review programs including RAC, OIG or Medical Reviews.

• RAC Assessment
• Rigorous and actionable assessment of “complex cases” known to be targeted by RAC
• Proactively identifies compliance errors and quantifies the financial impact of the RAC program with a comprehensive scoring breakdown
• Technology to Manage Audits and Processes
• Complete technology solution that identifies, addresses and manages all audits, inclusive of all RAC activity
• Tracking and trending capabilities through data collection and reporting to identify areas for process improvement
• Manage tasks and responsibilities and improve communication through workflow functionality
• Mines a hospital or health system’s claims to determine what Medicare claims are at risk for review 
• RAC Response and Recovery 
• Offers clinical review and appeals services, using a  team of physicians and nurses to review the documentation and prepare compelling appeals in a timely manner

Additional Benefits: 

• Integrates with Executive Health Resources (EHR), the leading provider of medical necessity compliance and denials management solutions. MedAssets Claims Auditor has achieved EHR’s BRONZE level integration certification status.
• Connects hospitals and health systems with the American Hospital Association's (AHA) RACTrac.

Utilize our expertise and approach for revenue integrity and allow us to serve as your strategic partner to help assess and resolve your RAC and Medicare reimbursement issues. 

For additional information about RAC, contractors and best practices, visit our Resource Center.