Recovery Audit Contractor (RAC) Preparation and Maintenance Services
Vice President
RAC Expert
The CMS Recovery Audit Contractor Program (RAC) is one of the most significant government driven initiatives healthcare providers are facing today.
In states audited, CMS has recovered substantial payments from providers, for claims deemed overpaid. In order to address this critical issue, CampbellWilson has developed a comprehensive approach/methodology to help providers prepare for RAC audits.
"The potential financial and operational impact for healthcare providers under the RAC
Program could dramatically affect the overall performance and financial stability of a healthcare
organization.
The proactive planning, corrective action, process management and administrative
oversight will prove to be crucial to maintaining revenue and current operations under the RAC Program.
At CampbellWilson we have an experience multi-disciplinary staff available to assist clients
with proactive assessments and customized solutions for their organization."
—Cedrial Moore, Vice President
Our RAC program services include:
- Proactive RAC risk assessments including:
- Operational
- Technology
- Coding
- Medical necessity
- Documentation Evaluations
- High risk area coding and documentation audits
- Medical necessity documentation audits
- Medicare coverage validation
- One day stay review
- Focused billing reviews and system edit evaluations
- Assistance with the development and implementation of facility specific appeal procedures and workflows
- Proprietary web-based Recovery Audit Contractor Management tool, RAC-STAT ™
- Development of facility interdisciplinary oversight teams and procedures
- Development and implementation of customized performance improvement solutions to minimize risks
For more information, contact us at 800.723.6492 to speak to one of our experienced consultants or log onto our website for more information: info@campbellwilson.com.
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What Our Clients are Saying
"CampbellWilson's breadth of knowledge on regulatory and finance issues allowed us to recover lost funds and discover new income streams and apply them toward these types of health care initiatives." —Vernon Moore, Vice President, Business and Finance, UTHSC at Tyler
"This is a time when being good isn't good enough. You have to have great operations. CampbellWilson staff bring a lot of experience to the table to help us in the process, and I would hire them again and would highly recommend them to other hospitals." —Keith Barber, COO and CFO, Tomball Regional Medical Center
"We want to make sure we aren't missing anything. We don't want to leave anything on the table. ...CampbellWilson staff have a special area of expertise; this is what they do day in and day out. We are very happy with their services." —William Galinsky, Assistant Executive Director of Finance, Scott & White
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