- In 2007, during the demonstration period the RACs
collected more than 350 Million in overpayments in just 3 states:
Florida, California and New York
- 8 percent of the overpayments were collected from
acute care inpatient hospitals
- Most of the overpayments collected fell between
10,000 and 19,999 dollars
- Nearly half of the alleged overpayments were
attributed to incorrect coding
- 44 percent of the claims appealed resulted in a
decision in the provider’s favor
- Most Hospitals are not prepared for a RAC audit until
it is too late
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- Simple to implement Web Service
- ‘Alert Assistant’ emails your staff as claims
approach critical deadlines.
- Medical records request processing, delivery
tracking and RAC invoicing.
- Auto-flow next-step sequencing between all appeal
levels
- On-screen appeals forms
- Integrated remittance matching to make sure 'takebacks'
don't happen without your knowledge.
- Instant detailed reporting at all appeal levels
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