Inside the audit and RAC preparation process at Norton Healthcare.
Healthcare providers should look both outside and inside their organizations to prepare for Recovery Audit Contractor (RAC) program challenges. Organizations should have the right team in place to focus on their RAC audit response. Preparation for RAC audits should include mining data to identify potential risk, automating claim filing, educating staff and physicians, and communicating to key stakeholders.
Redden
Janice
J
Norton Healthcare, Louisville, KY, USA. janice.redden@nortonhealthcare.org
Banks
Kate
K
D014487:Centers for Medicare and Medicaid Services, U.S.; D005375:Financial Audit; D005377:Financial Management, Hospital / Q000458:organization & administration*; D007345:Insurance Claim Review / Q000458:organization & administration*; D008484:Medicaid; D006278:Medicare; D019982:Organizational Case Studies; D012051:Reimbursement Mechanisms / Q000458:organization & administration; D014481:United States