Six Key Areas of Health Reform
Get ready to dot every "i" and cross every "t." Or, in healthcare terms, get ready to document with gusto.
Why? Health reform legislation calls for state-based Recovery Audit Contractor (RAC) programs to make sure providers meticulously document in compliance with regulations. Through this initiative, CMS expects to achieve $2.9 billion in additional savings, compared to pre-reform estimates.3
Hospitals with pervasive documentation difficulties will, of course, experience the greatest negative impact in the event of a RAC audit.
In order to proactively prepare and protect revenue streams, organization should:
- Increase focus on improving documentation quality and medical necessity checking
- Form multi-disciplinary teams to develop RAC audit plans
- Implement technology systems to manage workflow and provide instant access to necessary supporting information
3U.S. Department of Health & Human Services. "Reducing Improper Payments, Fighting Fraud, and Curbing Waste and Abuse Under the Affordable Care Act." healthcare.gov. Web. 14 September 2011.