May 2009 Newsletter
Effective RAC Management with Audit ControlX
Recovery Audit Contractors (RACs) engaged by CMS to find and correct overpayments (and underpayments) will have serious impact on every hospital in the country—if not through crippling takebacks, then certainly through the debilitating drain on hospital resources as staff is mobilized to respond to audits with documentation, analysis, and appeals.
The Quadax strategy to assist clients with their defense is an allied approach: the partnership of best-in-business organizations to present the strongest RAC solution on the market today—Audit ControlX. Within Audit ControlX are these individual components, each critical to effective RAC management, each delivered by the organization whose core competency is to deliver a best-in-business solution in that area:
- Powerful software developed by Quadax—Axis™
- Skilled manpower from Human Arc—PayerLogicsm RAC Response service
- Preventive edits added to your Xpeditor batch processing
The best in the business for powerful, flexible software is our own staff of software engineers; they’ve developed Axis™ —a secure, web-based toolset to equip hospital staff and/or Human Arc specialists to stay on top of every audit as well as the overall impact of RAC through robust reporting. This hosted system interfaces with Xpeditor and your network to facilitate compilation of documentation required to support an appeal. Axis™ tracks the status of all outstanding audits, reports the dollars at stake, and collects relevant data with which to prepare cost reporting in addition to other standard reports. Workflow and alerts are highly configurable, as is the integrated report scheduler.
The best in the business for skilled manpower to defend your hospital billing is Human Arc, with clinical and coding specialists, vast experience in hands-on denials management, and accurate workflow processes that adhere to RAC guidelines and due dates. Human Arc’s PayerLogicsm RAC Response reduces the administrative burden on your hospital staff and supports your in-house process improvement strategies to minimize future audits in areas of risk.
The best in the business for preparing claim review edits, from a clinical and compliance perspective, is Quadax partner The Wellington Group, who has powered the Audit ControlX Preventive Edits, which may be added to your current Xpeditor edit routines to identify claims that are likely to be selected for RAC automated or complex reviews, thus reducing future exposure.
To learn more about Audit ControlX by Quadax, contact or .
Audit ControlX by Quadax is one part of Xpeditor Xtensions—
the premier system for better bottom-line results in your healthcare business office.
Quadax ECM Services can also help you efficiently respond to RAC requests for Medical Records.