Hospitals have 58% overturn rate when appealing RAC claims

Hospitals appealed 49 percent of all Recovery Audit Contractor claim denials in the second quarter of 2015, with 58 percent of those claim denials being overturned in the appeals process, according to the American Hospital Association's second-quarter RACTrac survey.

Concerning costs, 50 percent of hospitals reported spending more than $10,000 managing the RAC process during the second quarter of 2015, 30 percent reported spending more than $25,000 and 7 percent spent more than $100,000.

Since the AHA began the RACTrac survey in January 2010, 2,565 hospitals have participated, and 819 hospitals provided information in the second quarter of 2015.

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