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Discover the Most Efficient Way to Manage RAC Audits


The RAC Audit Program will increase payment denials and operating costs unless your Health System is well prepared and organized. If you bill Medicare, there are new essential activities that must be managed as a regular business process. These activities include:

  • Processing medical records requests in a timely and cost-effective manner
  • Processing demand letters
  • Appeal decision, preparation, and follow-up
  • Financial tracking and reporting, forecasting and cash-flow analysis
  • Studying and quantifying results to prevent future losses

During the RAC demonstration period most organizations made attempts to manage RAC Audits by:

  • Manual tracking, printing, and mailing of medical records requests
  • Use of separate word processor to write, store and print appeals
  • A spreadsheet to record cash flow and appeal activity
  • Manual identification of RAC payment activity by visual review of daily Medicare remittances

Even though the more proactive organizations were able to successfully overturn more than forty percent of the RAC recoupment’s, the costs associated with doing so were unacceptably high and appeal opportunities were missed.

We invite you to learn more about RACManager. Please feel free to request an on-line demonstration at your convenience.

 

E-Demands


Receive Demand Letters Electronically

Entering RAC information by hand is very time consuming.

Click here to see an actual RAC Demand Letter and find out why RACManager's E-Demands should be a requirement for any RAC tracking application.

While other tracking solutions offer manual entry or attempt to use OCR to assist with data entry from a paper Demand Letter, RACManager's E-Demands is a pure electronic solution.

  • Be the most efficient RAC Team - No data entry is required and accuracy is assured
  • Less Training - Entry staff doesn't need to learn how to gather information from RAC Demand Letters
  • Be RAC Ready More Quickly - E-Demands is an automatic service of RACManager

From the Electronic Inbox you can simply decide whether or not to appeal.

  • Easily distinguish between Complex and Automated Reviews as they are received
  • The Overpayment Amount is automatically calculated for each claim instead of the summary Overpayment Amount that is on the Paper Demand Letter
  • The Patient Name, Account Number and other demographics that are not on some Demand Letters are automatically included
 

AHA RACTrac

RACManager reports have been verified to produce the information needed to report the AHA.

  • All financial reporting data is part of our Automatic Financial Reports
  • RACManager manages multiple provider types but allows you to report hospital RAC activity only
  • Cross references your Denial Reasons to the RACTrac's predefined Denial Reasons

 

Express CD Service


Sending Records Just Got Easy

Let Us Send RAC Requests on CD for You

Simply attach each request in RACManager and you're finished.

  • Reduces your overall processing costs by two-thirds
  • Save your RAC Team time and aggravation
  • Our CDs are pre-tested to meet your RAC's specifications
  • Less Training - Fewer Meetings
  • No special software, equipment or supplies to purchase