The RACs will be rolled out to all states by the end of 2009, making it critical that hospitals assess areas of risk and proactively prepare for RAC audits
Salt Lake City, Utah (PRWEB) October 14, 2008
3M Health Information Systems has introduced the 3M RAC Ready Program, a new solution that combines expert consulting with advanced software to help hospitals prepare for increased compliance scrutiny under the federal government's Recovery Audit Contractor (RAC) program. The 3M RAC Ready Program provides comprehensive tools and services to identify areas of risk, reduce audit vulnerability, and promote fast and efficient responses to RAC activities.
Mandated by Congress and administered by the Centers for Medicare and Medicaid Services (CMS), the RACs seek to identify improper Medicare payments through in-depth auditing of hospitals, physicians, and suppliers that submit claims to the Medicare Fee-for-Service program.
"The RACs will be rolled out to all states by the end of 2009, making it critical that hospitals assess areas of risk and proactively prepare for RAC audits," said JaeLynn Williams, Vice President, Consulting Services for 3M Health Information Systems. "With the 3M RAC Ready Program, customers can be confident that they have taken appropriate steps to identify compliance issues, mitigate risk, and manage all aspects of the RAC audit process."
The 3M RAC Ready Program builds on the foundation of the 3M™ Coding and Reimbursement System, which promotes accurate, complete and compliant coding. Core components include 3M™ Validation and Appeal Services for Recovery Audit Contractors (RACs), a complete baseline assessment that determines a hospital's exposure under the RAC program. 3M consultants work onsite with clients to target areas of risk, focusing on coding, medical necessity and documentation to improve claims accuracy and reduce denials.
Additional analysis is provided with 3M™ Case Management Workflow Engineering Services, a consulting program that evaluates case management processes and identifies the root causes of compliance issues such as medically unnecessary short stay admissions and incorrect patient assignment.
To support accurate coding as well as effective and timely management of RAC requests and appeals, sophisticated software is fully integrated with the 3M RAC Ready Program. The 3M™ Audit Expert System works in conjunction with the 3M Coding and Reimbursement System to review 100 percent of inpatient records for compliance errors at the point of coding, and offers customized coding alerts, retrospective auditing tools, and trending reports that allow comparisons with national norms. The software features a RAC tracking and management tool that streamlines workflow by tracking RAC communications, denials and related appeals, monies recovered, and areas of risk.
More information about the 3M RAC Ready Program is available at http://www.3Mhis.com or by calling 800-367-2447.
About 3M Health Information Systems:
3M Health Information Systems delivers technology and consulting solutions that can help healthcare organizations improve patient care, facilitate compliance, and achieve appropriate reimbursement. Built on nearly 25 years of healthcare funding and performance management expertise, 3M Health Information Systems provides tools to capture, store, and analyze patient information and enable an electronic patient record. 3M Health Information Systems is part of 3M Health Care, one of 3M Company's six major businesses, providing world-class innovative products and services to help healthcare professionals improve the practice, delivery and outcome of patient care in medical, oral care, drug delivery, and health information markets.
3M is a trademark of 3M.