Health Information Management

HCPro releases RAC preparedness benchmarking survey results

HIM-HIPAA Insider, December 15, 2009

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In 2009, HCPro’s Revenue Cycle Institute conducted an in-depth study on recovery audit contractor (RAC) preparedness among healthcare providers. Not surprisingly, the survey determined that HIM staff members—from both coding and medical records backgrounds—play a large role in RAC preparation.

The study garnered 717 participants from all four RAC jurisdictions. Respondents hailed from healthcare providers of various sizes: 25% came from hospitals with fewer than 100 beds, another 25% came from hospitals with more than 400 beds, and the remaining 50% were spread in between. Approximately 14% of respondents had participated in the RAC demonstration project.

A surprisingly high number of respondents said they already had a RAC preparedness program in place (71%). Providers with heightened awareness of the RAC initiative who may have been more likely to respond to the survey may have inflated this number, according to Kimberly Anderwood Hoy, JD, CPC, director of Medicare and compliance at HCPro. 

Programs appear to still be in their early stages. Of respondents with a program in place, 85% started in the past year, and more than 50% started in the past six months. Risk assessments are also well under way, with 75% of respondents saying they have looked at potential risks.

Note: For more information, visit the HCPro Web site. Subscribers toMedical Records Briefing have access to this article in the January issue of the newsletter.

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