ClaimTrust Successfully Appeals RAC Denials

Murfreesboro, Tennessee, February 5, 2009…From 2005 to 2008, the RAC demonstration resulted in over $993 million in overpayments being returned to CMS and nearly $38 million in underpayments being returned to healthcare providers.

Karen Bowden, President of ClaimTrust Consulting, recently spoke at an HFMA meeting about her experience with RAC— “ClaimTrust Consulting wrote appeals for two Massachusetts Hospitals involved in the RAC demonstration project. We appealed 84 inpatient denials to the FI on behalf of our clients and were successful in overturning 86% of the claims.”

In contrast, the average percentage of claims overturned on appeal as reported by CMS is 7.6%. ClaimTrust Consulting has an all-inclusive service offering that will ease the burden RAC audits will place on your facility. Contact ClaimTrust Consulting to learn more about our RAC Services.