On the RAC. CIOs must work to make their organization's time with CMS Recovery Audit Contractors as painless as possible.
CIOs should act as a team with HIM and Finance to prepare for RAC audits. CIOs can take the lead in looking at improved coding systems, and can be involved in creating policies and procedures for the hospital's RAC team. RAC is an opportunity to improve documentation, coding and data analysis. RAC appeals will become more common as states share lessons learned. Follow the money and check on claims that are frequently returned.
Lawrence
Daphne
D
D014487:Centers for Medicare and Medicaid Services, U.S.; D003284:Contract Services; D019983:Guideline Adherence; D006740:Hospital Administrators; D006751:Hospital Information Systems; D007345:Insurance Claim Review / Q000458:organization & administration*; D008485:Medical Audit; D014481:United States