RAC and Denial Management

• The process for responding to a RAC audit is complicated and require input from a wide range of hospital staff and coordination between several departments.
• Hospitals often need to hire new staff or reassign current staff to handle the ongoing operational aspects of RAC audit requests and denials management.
• The payments taken back from hospitals are only part of the expense that is incurred as a result of RAC audits.
• Failure to respond in a timely manner to Medicare audit denials can expose hospitals and healthcare systems to the risk of loss of funding, penalties, and suspension from future federal awards.

M1 can assist with all the above.