An article published in Physician Executive described the success of a system-level approach to managing recovery audit contractor audits, according to an AHA blog.
To manage RACs, Milwaukee-based Ministry Health Care created a multi-disciplinary team that included physicians, nurses, case managers, risk managers and IT specialists, among others. The system also appointed a system RAC medical director. Through this centralized approach, Ministry Health Care was able to meet various challenges RACs present.
Ministry Health Care now works with a smaller hospital system in which it has an ownership interest to coordinate its audit and appeals processes.
Read the AHA blog on Ministry Health Care.
Related Articles on RACs:
CMS Highlights Differences in RAC Appeal Process and Regular Medicare Appeal Process
CMS: RACs Will Pay For Medical Record Photocopies
CMS Approves HMS as Recovery Audit Contractor for New York
To manage RACs, Milwaukee-based Ministry Health Care created a multi-disciplinary team that included physicians, nurses, case managers, risk managers and IT specialists, among others. The system also appointed a system RAC medical director. Through this centralized approach, Ministry Health Care was able to meet various challenges RACs present.
Ministry Health Care now works with a smaller hospital system in which it has an ownership interest to coordinate its audit and appeals processes.
Read the AHA blog on Ministry Health Care.
Related Articles on RACs:
CMS Highlights Differences in RAC Appeal Process and Regular Medicare Appeal Process
CMS: RACs Will Pay For Medical Record Photocopies
CMS Approves HMS as Recovery Audit Contractor for New York