Fact Based List:
Helen Adamopoulos: 10 Key Stats From The Medicare Recovery Auditor Survey (RAC)
Submitted by Anonymous on Thu, 06/05/2014 - 17:21
- The hospitals surveyed reported 57 percent didn't contain an overpayment
- Nearly 60 percent of hospitals reported experiencing short-stay medical necessity denials
- 59 percent of hospitals received denials for inpatient coding
- Sixty-six percent of short-stay denials for medical necessity were because the care was provided in the wrong setting
- Hospitals reported appealing 50 percent of their RAC denials
- Hospitals reported a 66 percent success rate in the appeals process
- Fifty-five percent of hospitals filing a RAC appeal during the first quarter appealed short-stay medically unnecessary denials
- Of the participating hospitals' appealed claims, 63 percent are still in the appeals process
- Sixty-nine percent of hospitals spent more than $10,000 managing the RAC process during the first quarter
- 48 percent of hospitals surveyed reported spending more than $25,000 managing the RAC process
Source: Beckers Hospital Review
Source URL: http://www.beckershospitalreview.com/finance/medicare-rac-ac...
List Ratings: |
Lists You Might Also Be Interested In
- KFF: Number of Counties Where Major Insurers are Offering Medicare Advantage Plans in 2024
- States with Lowest Total Medicare Fee‐For‐Service and Medicare Advantage Payment Reductions for 2013-2022 (Millions)
- Highest Total Spending: Medicare Part B
- CMS: Key Changes and Updates Finalized in the 2015 Rate Announcement and Final Call Letter for Medicare Advantage and Prescription Drug Benefit (Part D) Programs
- CMS proposes 'flat fee' Medicare payment plan: 8 insights
Login or register to post comments