Guidance on RACs

A new AHIMA toolkit helps HIM professionals steer their organizations through the Recovery Audit Contractor (RAC) program.

 The “Recovery Audit Contractor (RAC) Toolkit” includes background on the program and an overview of the process, including what entities are eligible to be audited, the basis for the audits, and the type of audits. It also includes appendixes providing:

  • A preparation checklist
  • The hierarchy of authority samples
  • A sample of the RAC coordinator job description
  • A sample of a RAC policy and procedure
  • A RAC record extension request sample
  • How to develop a RAC education program
  • A presentation sample
  • RAC acronyms
  • A RAC determination response
  • The appeal process workflow
  • The Medicare appeals process
  • Sample appeal letters
  • An appeals submission checklist

The kit was developed by AHIMA’s Recovery Audit Contractors (RACs) Workgroup, a subgroup of the Clinical Terminology and Classification Practice Council. It is available free of charge.

AHIMA offers additional toolkits online, including “Copy Functionality Toolkit,” which can help HIM professionals and their organizations develop policies and procedures to allow for the review, audit, and testing surrounding this functionality.

Look for two more toolkits on amendments to transcribed reports and amendments for EHRs, which will be released in August.

1 Comment

  1. I work long demanding hours and seldom have time to soak up the information on AHIMA’s website. I pay dues annually, read the magazine occasionally, and sometimes visit the website. I am also one of those members who, every time I need something regarding HIM and other RHIT duties assigned by our respective organizations, I am amazed at the wealth of information AHIMA has available. Thank you.

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