Revenue Cycle

Understand the new AHA RACTrac initiative

Recovery Auditor Report, May 14, 2009

The American Hospital Association (AHA) plans to launch a Web-based survey as part of a larger RACTrac initiative this fall to track the effects of RACs on individual hospitals nationwide. The survey will require hospitals to report on a quarterly basis their RAC experience.

RACTrac will collect the following data points:

  • Number of claim denials and total dollars associated with over payments and underpayments 
  • Service areas where overpayments are being identified (e.g., inpatient, outpatient, rehab, etc.) 
  • Reasons for claim denials cited by the RACs 
  • Number of appeals filed and the dollars associated with those appeals 
  • Quantifying administrative burden and costs by hours of staff dedicated to managing the RAC process and dollars paid to consultants

AHA has also created a member advisory that explains the initiative and provides answers to frequently asked questions about how hospitals can participate in the survey.

In addition, AHA has provided a list of vendors that currently provide claim-level RAC audit solutions, meaning they have expressed an interested in making their applications compatible with the RACTrac initiative.

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