Allscripts RAC - Plus
RAC Preparedness – Are You Ready?
Centers for Medicare & Medicaid Services (CMS) is currently implementing a nationwide Recovery Audit Contractors (RAC) program in phases that will be completed in all 50 states by 2010. The purpose of this program is to identify Medicare underpayments and overpayments and recoup the overpayments. This means that a significant number of Medicare providers should be informed about the RAC program and begin preparing for its implementation. How can you prepare? Partner with Allscripts.
Allscripts RAC – Plus is designed to closely monitor the RAC program concurrently and retrospectively within the hospital and health system. Whether you have a centrally managed denial and appeals process, you can keep all key parties across the continuum accountable to get the job done as efficiently as possible, and report the revenue impact. By integrating with the ADT system, the web-based application provides everyone involved in the RAC and internal denial and appeal processes instant access to current patient data and reporting capabilities. Also, Allscripts Consulting team provides specialty services combined with the Allscripts RAC – Plus tool to enable customization to each hospital’s unique workflow and leading best practice for audit preparedness and response.
- Automated workflows step users through each stage in the process.
- New tasks are automatically created and assigned across work areas upon completion of current tasks.
- A true workflow solution that supports and tracks both the RAC program time frames, along with your own internal processes.
- Cases, accounts, requests for data, documents and medical records flow between departments in real-time ensuring actionable.
items are completed with measureable accountability for each step in the process. - RAC and other related documentation can be uploaded and viewed.
- Email notification of new audits, new tasks, upcoming and overdue tasks.
- Requests and other appeal actions can be assigned and tracked.
- Escalation features that automatically route upheld appeals to the next level of action. The audit is mapped and managed in detail from the request for records.
- Critical operational support provided with an automated and thorough response process to both government and commercial denials.
- Timeframes can be setup and managed for each appeal level of the denial.
- Centrally managed reporting for all RAC cases (Standard and Ad-hoc Reporting)
- Independent consulting department access on patient data you want reviewed.
- On site or off site implementation, training and on-going RAC consultation by licensed professionals.
- Ongoing support via the Allscripts 1-800 support line 24/7, 365 days per year
