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| Medical Records Briefing |
| July 2008 |
| HIM directors discuss appealing RAC denials and tracking data |
| Editor's note: This is the second article in a two-part series in which HIM directors in three Recovery Audit Contractor (RAC) states recount their experiences with audits thus far. Last month's article focused on staffing, building a RAC team, and productivity. This article focuses on tracking and appealing denials.
Just because a RAC denies your claim and wants to recoup money doesn't necessarily mean you have no recourse. And preparing for national RAC implementation in 2010 includes designing a plan for your hospital to track data, appeal denials, and manage work flow. During a March 11 HCPro audioconference, "Recovery Audit Contractors: Lessons Learned to Help Your Hospital Prepare Now," HIM directors in California, New York, and Florida shared their perspectives on these topics during a roundtable discussion. |
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