Are you ready for a RAC audit?
Document management
prevents the two-fold threat.
The Basics
An auditor walks in the door tomorrow, are you ready? RAC audits have the potential to
cost your organization millions of dollars. Not only do you have to worry about paying for
overpayment determinations, conducting the audit in the first place can be outrageously
expensive.
The Challenges
• Loss of revenue. Insufficient proof of medical necessity leads to overpayment
determinations.
• Strict timelines. You must provide the requested information and appeals before
deadlines are up or overpayments will be assumed.
• Finding the resources to manage the RAC audit process. Manually searching for
documents is time consuming and expensive.
The Solution
You can’t afford to be unprepared. OnBase document management is your tool against
both costly aspects of the RAC program. The audit process is easier for you and you have
the information to prevent overpayment determinations. Prepare yourself with document
management.
We did our homework.
We took the time to develop a solution based on our customers’ real life experiences. We
reached out to our strong base of OnBase customers in regions that participated in the
initial demonstration of the RAC program. We walked in their shoes to uncover the issues
surrounding the audit process.
Working with them, we designed a solution that addresses the toughest parts of a RAC audit
so when an auditor walks in the door, you’re ready.
Meet Deadlines without Adding Staff
The OnBase RAC Solution manages the audit process from start to finish so you never miss a
deadline or have to hire more people.
Instead of manually pulling documents and tracking progress on a spreadsheet, you manage
the entire audit—documents and progress—in an easy-to-view dashboard. You don’t search
through piles of paper or track requests individually. You complete the audit on time and
without more people.
Once an auditor’s request is received, OnBase auto-calculates requests and tracks the steps
to be completed, who it’s assigned to, expected completion date, appeal dates and more. A
dashboard view of all requests clearly shows the time remaining to complete the next step.
• Automatic e-mail notifications keep the process moving and remove hold-ups.
• Management views provide average processing times that drill down by specific
criteria to identify and correct current bottlenecks.
• The solution preserves historical activity of the entire audit so you can determine
trends and weaknesses in the RAC response, and your next audit can be even more
efficient.
All the Information to Prove Your Case
RAC auditors find overpayments when there is a lack of proof of medical necessity. Without
the right information (lab results, clinical information, progress notes, etc.), you don’t have
the proof to prevent overpayment determinations. OnBase enables you to store all of this
information in a central repository—no more worrying about missing documents.
By scanning in paper and importing data from disconnected systems, you go to a single
repository when an auditor comes in. You have all the information to justify all of the
payments you deserve all in one place. During an appeal, the more information you have,
the greater your chances of winning.
The Payoff
• Prevent lost revenue due to overpayment findings
• Respond to RAC auditors’ requests within timelines
• Eliminate need to hire staff to manage audits; minimize audit expenses