Designed for Medicare RAC Success

InSight RAC is a web-based tool for creating the core Medicare RAC tracking and correspondence database required to minimize RAC exposure and give hospitals the best chance for appealing Medicare RAC denials. It marries easy-to-use RAC-specific data entry tools with workflow and reporting capabilities designed specifically for navigating the multiple levels of inquiries and appeals. Securely accessed from any browser, it provides intuitive views of all entries, tracking audited claims from chart request all the way to Federal District Court (FDC) appeal.

As part of the InSight Revenue Cycle Solution™, InSight RAC can also be integrated with the full 835 interface engine included in InSight Denials™. This provides automated access to RAC-related remittance data, including the N432 Remittance Advice Remark Code that monitors payment adjustment information from Medicare RAC audits.

Manage Workflow Across Multiple Departments and Locations

InSight RAC features a comprehensive workflow tool that distributes required tasks across multiple team members, departments, and facilities as needed, updating the status of all components in the central patient record as it goes.

Integrated reporting tools make it easy to track each element of the process and ensure individual accountability at every step in the workflow.

Users can upload and attach all documentation associated with each appeal such as denial letters, appeal letters, and decision letters. The tool automatically compiles a complete history for each appeal, encompassing the full communication trail.

Reporting

As part of the InSight Revenue Cycle Solution, InSight RAC integrates with InSight Reports™ to enable staff to quickly identify and trend areas of exposure and multi-level appeals. Reporting capabilities include the ability to calculate all applicable due dates, and create shared reports and team alerts for meeting key deadlines. InSight RAC is AHA RACTrac compatible and can generate a wide range of status reports, including information on:

• Denial reasons
• Retractions
• DRG/CPT
• Executive summaries
• Appeal levels
• Outcomes
• Risk
• Workflow productivity
• Enterprise reporting

Knowledgebase

InSight RAC and the entire InSight Revenue Cycle Solution leverage a fully web-based platform which is constantly updated to include the latest information on best practices and payment rules discovered by the ClaimTrust services team. Within that large and growing knowledgebase is a set of RAC-specific content including templates, checklists and relevant information, including:

• Correspondence templates
• Complete record checklist
• Relevant forms
• References for winning arguments:
• Medicare regulations
• Social Security Act
• Prior precedent in overturned appeals