RAC Readiness

On February 28, 2008, the Centers for Medicare and Medicaid Services (CMS) announced that more than $371 million in improper Medicare payments had been collected from or repaid to healthcare providers and suppliers in 2007 from just three states: California, Florida, and New York. The project is expanding in 2008. By 2010, CMS expects to have four Recovery Audit Contractors (RACs) in place, each responsible for one fourth of the country. This initiative makes clinical documentation improvement (CDI) more important than ever. Established programs are taking a "check-up" to ensure they are functioning optimally.

Navigant Consulting recently offered a complimentary one-hour webcast to provide a brief overview of this timely issue. The webcast covered the following topics: an overview of RAC regulation, RAC results and expansion, how RACs really work, insights from the initial states, reassessing CDI programs in light of RACs and other steps that will help hospitals prepare for change.  A replay of the webcast is available on-demand at any time - click here to view.

Navigant Consulting is an established thought leader on the topic.  A recent article on RAC Readiness which appeared in the Healthcare Financial Management Association (HFMA)'s Revenue Cycle Strategist newsletter is available below.

Navigant Consulting can help with the analytics, evaluation, and necessary guidance to foster readiness.  More information on our RAC Readiness Services is available below.

• Revenue Cycle Strategist Article - RAC Reviews:  Are You Ready?

  Harriett Wall, Director in Navigant Consulting's Healthcare practice, authored this article which appeared in the July 2008 issue of HFMA's Revenue Cycle Strategist

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• RAC Readiness Services

  Provides more information on the RAC and how Navigant Consulting can help providers prepare

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