Want to Assure RAC Audit Survival?

What is RAC? 

• Medicare`s RAC program is one of multiple initiatives launched by the CMS to prevent improper payments before a claim is paid, and identify and recover improper payments after the claim has been paid
• RAC, which is the newest CMS program, has recovered more than $900 million in Medicare overpayments and nearly $38 million in underpayments returned to healthcare providers in the three-year RAC demonstration program in California, Florida, New York, Massachusetts, South Carolina and Arizona  
• According to a September 2008 RAC report, approximately 19.6% of providers appealed their cases, and only 6.8% of audits were overturned on appeal

CRMI can train you in RAC Compliance to help assure survival of a RAC Audit.

CRMI has expertise in medical necessity documentation, clinical appeals recovery and Medicare reimbursement management. We target the entire RAC audit process from assessment to appeal and beyond. Your company needs revenue integrity for long-term financial performance. 

CRMI Offers:

• RAC Compliance Assessment 
  • Reviews existing charts, clinical documentation and criteria, and processes against CMS guidelines
  • Identifies vulnerable, costly, inpatient areas related to medical necessity, documentation, coding and utilization review processes
  • Provides specific recommendations for sustained improvements


• RAC Workflow Tool
  • Helps hospitals manage RAC and other CMS audits with a Web-based claims auditing technology
  • Manages RAC timelines and activities, automates deadline notifications, and tracks and reports on all RAC activity
  • Audits historical claims to identify vulnerabilities


• RAC Defense and Recovery Services
  • Helps providers manage, defend RAC audits with our skilled clinicians and coding professionals to review the documentation and construct the appeal
  • Allows hospitals to manage the volume of audits with extended resources by outsourcing some or all RAC audits to ensure timely response and appeal
  • Tracks and trends appeal success and identifies areas for process improvement

Our expertise and approach for revenue integrity allows us to serve as a strategic partner to help assess and resolve your RAC and Medicare reimbursement issues. With the nationwide RAC roll-out underway we can help you address your needs today.

For more info, contact us today at 866.637.4155.