RAC Solution
AccuRAC is a comprehensive, enterprise-wide solution that automates and manages the entire RAC audit process. Powered by Hyland® SoftWare’s OnBase®, AccuRAC combines business process management, records management and trending capabilities in a single application. Its unique workflow component allows users to share and link data to assure an accurate, efficient and timely response to a RAC audit, while effectively tracking claims activity and reducing future rejections.
How Your Healthcare Organization Will Benefit from AccuRAC
- Automates and manages the RAC Audit appeal process
- Responds to RAC auditors’ requests within designated timelines
- Eliminates need to hire staff to manage the audit process, thereby minimizing audit expenses
- Provides automatic e-mail notification to monitor the process and remove hold-ups
- Task Management
- Directly links to related Web sites
- Offers configurable parameters
- Uploads claims history to identify risk
- Preserves historical activity of the entire audit in order to identify trends and weaknesses in your RAC response
Dashboards
Financial Dashboard
- Graphical view of all claims under appeal
- Track amounts recovered by RAC and amounts that will be withheld from next Medicare payment
- Provide insight into short-term cash flow needs
- Identify amounts under appeal
- Identify amounts won and lost YTD and QTD
- See year-to-year comparison amounts lost per quarter to identify trends
Risk Analysis
- Quantify risk exposure by searching claim database to identify matching demographics of lost claims/dollars
- Breakdown of claims being audited by DRG, PDx and dollar amount
- Identify audit patterns and trends of denied claims to red flag other potential claims at risk
Process Improvement Dashboard
- View all claims audited by denial reason to identify potential proactive process improvements with organization
- Drill down to view specific DRG or PDx claims with coding errors
- Identify procedural deficiencies patterns within organization
Administrative Dashboard
- Identify number of claims at each step of the audit appeal process with the ability to drill down to claims level
- Top down view of closing timelines to respond/appeal to RACs to the claim level
- Ascertain response/appeal date risks for the enterprise
- Calculate the exact number of claims received from the RAC auditor within the last 45 days in order to identify over-auditing
Powered by Hyland® Software’s OnBase® system, AccuRAC’s unique workflow component allows users to share and link data. This workflow element assures an accurate, efficient, and timely response to the RAC audit, while effectively tracking claims activity and reducing future rejections. These strategies improve information access, allowing you to focus on better patient care by:
- Preparing providers for quick-turnaround RAC audits
- Responding to inquiries quickly and effectively
- Securely storing all data and documents electronically
- Streamlining billing processes
With completely customizable features, and the ability to integrate with existing EMR systems, AccuRAC better prepares your organization to review inpatient records for compliance errors—eliminating the headache of impending audits and business processes beyond RAC.
