RACman

eCare^® RACMan  helps hospitals prepare for RAC reviews by tracking all RAC activity to minimize financial risk and avoid technical denials. RACMan manages and tracks RAC complex claim reviews, appeals and underpayments.  RACMan’s audit control center defines the facility type, audit type and reporting period and submits a quarterly summary file to the American Hospital Association’s (AHA) RACTrac.

Complex Claim Review
Track submission of requests for medical records in complex claims.

Appeals
Track the five phases of appeals including file dates, determinations and reasons for overturning denials.

Underpayments
While underpayments are not expected to be the norm, they are tracked and available to auditors.