Services
RAC Appeals - Recovery Audit Contractor Denials
Washington & West has actual RAC Appeal experience and we achieved exceptional results for our clients that were affected in the demonstration states. We are a vital resource for providers looking for RAC consulting, RAC education, or RAC Appeal Services.
Once audited by the RACs, the process of responding can be quite burdensome and often overwhelms the resources of many providers, even if providers have a denial management team in place. The sheer volume of denials from a RAC audit can significantly impact the success of a provider appeal.
The difference between success and failure in the Medicare appeal process often depends upon how well the case is presented to the CMS reviewers at each level. At Washington & West our analysis includes the following elements:
- Understanding and applying Medicare’s regulations and criteria
- Thorough review of the entire medical record
- Clear method of presentation of all necessary documentation and supporting explanation of the reason why the RAC is incorrect in its determination.
In addition, our services include follow-up until any retracted payments are returned to the provider, a very resource consuming, yet vital step in the recovery process. Washington & West can assist your facility at any point during the RAC appeal process.
For more up to date information on the RAC’s check our our RESOURCES blog:
