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The Best Medicine For A RAC Audit Is Document Management

August 6, 2009

The Best Medicine For A RAC Audit Is Document Management

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Article: The Best Medicine For A RAC Is Document Management

By: Susan deCathelineau, manager of healthcare solutions for Hyland Software

With the Medicare auditing program ready to expand to all states by 2010, the inevitable nature of the RACs is setting in. And while no one is certain what the outcome will be, the results of the trial audits have already proven to be costly: in just the five pilot states, $993M in Medicare overpayments has already been recouped.

Is this an indication that healthcare organizations have been overusing Medicare funds for years? Not necessarily. Because the RACs determine both underpayments and overpayments based on documented evidence, it's likely that the organizations taking part in the trial just weren't ready to present the necessary records to prove their cases. So although you can't keep the RACs from auditing your organization, you can prepare for the audit process itself – a process that requires a massive time and labor commitment. In fact, preparing and enduring a RAC can end up costing even more than any actual overpayments. How, then, can providers get a grip on the audit process? Think document management.

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Article: The Best Medicine For A RAC Is Document Management

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