Hospitals have 73% overturn rate when appealing RAC claims

Hospitals appealed 44 percent of all Recovery Audit Contractor claim denials in the first quarter of 2015, with 73 percent of those claim denials being overturned in the appeals process, according to the American Hospital Association's first-quarter RACTrac survey.

Concerning costs, 53 percent of hospitals reported spending more than $10,000 managing the RAC process during the first quarter of 2015, 33 percent reported spending more than $25,000 and 7 percent reported spending more than $100,000.

Since the AHA began the RACTrac survey in January 2010, 2,559 hospitals have participated, and 872 hospitals provided information in the first quarter of 2015.

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