MRO Offers Tracking and Reporting Module for Recovery Audit Contractor (RAC) Requests
2008-07-14 09:21:00
MRO Offers Tracking and Reporting Module for Recovery Audit Contractor (RAC) Requests
RAC Tracker Online Manages the Entire RAC Process from Initial
Request Through Payment Resolution
KING OF PRUSSIA, Pa.–(EMWNews)–MRO Corp., the market leader of shared-service, release-of-information
(ROI) solutions for healthcare providers, today announced RAC Tracker
Online, a request management program that enables hospitals to
effectively manage the entire Recovery Audit Contractor (RAC) audit
process.
The new module will allow healthcare providers to manage incoming RAC
requests from initial audit through the appeals process and payment
resolution. In addition to tracking all aspects of the process, RAC
Tracker Online creates detailed trend analyses, identifying steps that
will allow providers to enhance the claims process and avoid future
audits.
Many RAC reviews begin with a release-of-information (ROI) request. RAC
Tracker Online will be integrated with MRO’s
flagship software, ROI Online™, as well as
being offered as a stand-alone product for facilities not currently
using the ROI management software. RAC Tracker Online:
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Facilitates data entry of patient demographics, services provided, etc…;
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Coordinates RAC processing workflow;
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Organizes provider requirements, process summaries, error analyses and
deadlines;
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Captures requested documentation and RAC-related correspondence; and
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Manages ROI, financial and RAC reporting.
“With the ongoing expansion of the Centers for
Medicare & Medicaid Services’ (CMS) RAC
program to uncover improper Medicare payments –
both overpayments and underpayments, we realized the emergent need for
tracking and reporting tools to effectively manage the entire RAC
request process at the provider level,” said
CEO of MRO, Stephen Hynes.
“Everything from submitting claim histories to
uploading medical records to filing appeals will be required under tight
deadlines. Organizations that cannot meet these deadlines are
automatically determined to have filed an incorrect claim, resulting in
extensive lost revenue. RAC Tracker Online prepares healthcare providers
to more efficiently manage RAC requests and identifies opportunities to
improve clinical and financial documentation –
thereby avoiding future audits.”
With RAC Tracker Online, the RAC request is logged into the system as a
normal ROI request and the healthcare provider uploads the requested
documentation for delivery to the RAC. Automatic RAC requests with no
required medical documentation can also be logged into the system for
reporting purposes. Once the RAC has reviewed the claim and medical
records, and made a determination as to whether there was any
overpayment or underpayment, the information is logged into the system.
If the provider does not agree with the decision, RAC Tracker Online
offers an automatic appeal letter generation capability, allowing the
system’s user to quickly comply and meet
stated deadlines.
MRO will be conducting free Webinars throughout July and August to
introduce the features of RAC Tracker Online and discuss the new
capabilities that may be beneficial in this new environment.
About MRO Corp
MRO is the market leader of shared-service, release-of-information (ROI)
solutions for healthcare providers. By continually enhancing its
proprietary technology and utilizing the latest in software and document
capture systems, MRO provides simple, effective, and affordable ROI
solutions that integrate with daily workflow processes for both
paper-based and electronic record systems. For additional information,
visit MRO on the Web at www.mrocorp.com.
For MRO 229 Hynes, 610-994-7500, ext. 304 |
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