RECOVERY AUDIT CONTRACTORS (RACs) Full implementation of the Medicare Recovery Audit Contractor Payment Error Program is rolling out to hospitals across the nation and is to be fully implemented by 2010. The Toiyabe Group, Inc. (TTG) is uniquely qualified to help you prepare for the potential financial impact on your facility. By utilizing our “Mock RAC Audit Survey” you will identify: Your facility’s vulnerability to RAC-targeted DRGs; Medically unnecessary inpatient and observation admissions; Documentation “black holes;” Appropriate charge methodology; Work flow issues which can be addressed proactively. Post audit support activities: Report to all levels of Management impacted by RAC audits with recommendations for issue resolution; Education for clinicians at all levels to improve documentation protocols; An option to include CDM review, pricing and maintenance. We can also review any RAC audit already performed to: Determine if sound coding and utilization rationale is used; Determine if the financial impact is significant enough to warrant an appeal; Initiate and follow through with the appeal process using physician determinations of medical necessity. The Toiyabe Group, Inc. can partner with leading healthcare law firms to perform Mock Audits under Attorney Client Privilege or with your legal counsel. Next Page