The recent RACTrac survey, now entering its third year, continued to show the trend that hospitals confident in their appeals process win their cases a majority of the time.
Other figures from the AHA’s first quarter RACTrac Survey include:
• More than 67 percent of medical records reviewed by RACs did not contain an improper payment.
• The costliest complex denials were medical necessity denials.
• Seven percent of hospitals spent more than $100,000 managing their RAC process during the first quarter of 2012, while 34 percent spent more than $25,000.
• Roughly half of all hospital respondents said the biggest problem within the RAC process is that they are not receiving a demand letter.
• Among participating hospitals, $4.3 billion in Medicare payments were targeted for medical record requests through the first quarter of 2012.
More Articles on RACs:
9th Circuit Appeals Court Weighs Decisions Over Old RAC Reviews
CMS Caps Medical Record Reimbursement for RAC Audits
RAC “Take-Backs” Increase, Expected to Escalate More
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