AHA's RACTrac Traces Hospital RAC Activity Impact

Written by
July 6th, 2011

Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contractor (RACs) conduct automated reviews of Medicare payments to health care providers—using computer software to detect improper payments. RACs also conduct complex reviews of provider payments—using human review of medical records and other medical documentation to identify improper payments to providers. Improper payments include:

  • incorrect payment amounts;
  • incorrectly coded services (including Medicare Severity diagnosis-related group (MS-DRG) miscoding;
  • non-covered services (including services that are not reasonable and necessary);
  • duplicate services.

AHA created RACTrac—a free, web-based survey—in response to a lack of data provided by CMS on the impact of the RAC program on America’s hospitals. Hospitals use AHA’s online survey application, RACTrac, to submit their data regarding the impact of the RAC program. Survey questions are designed to collect cumulative RAC experience data, from the inception of a hospital’s RAC activity through the 4th quarter of 2010. Survey registration information and RACTrac support can be accessed at ractracsupport@providercs.com 1-888-722-8712.

For more information about Recovery Audit Contractor, contact knowledgebroker Carla Borda at 262-953-7138.Carla Borda is R&R Insurance’s Professional Liability Specialist, with major concentration on the healthcare industry and medical malpractice. More about Carla Borda.


No comments yet. You should be kind and add one!

Leave a Reply

Allowed HTML tags: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>

By submitting a comment you grant MyKnowledgeCenter a perpetual license to reproduce your words and name/web site in attribution. Inappropriate and irrelevant comments will be removed at an admin’s discretion. Your email is used for verification purposes only, it will never be shared.