RAC Analytical Reports Overview

Targeted Analysis

Our RAC Analytic Report series provides focused analysis of the areas that RAC audits target for recoveries and industry data as well as those areas targeted by RAC contractors for potential exposure. These reports help providers understand their areas of vulnerability and focus RAC response efforts on these areas to mitigate RAC impact.

Benefits

• Identify and address areas of exposure
• Correct errors before an audit begins
• Stay current with RAC expansion

Regular Updates on RAC Developments

OptumInsight constantly monitors a number of sources that provide feedback regarding the RAC program outcome, changes to program regulations, goals, and processes in addition to areas of future audit focus and updates the analytic reporting module to reflect the most recent RAC developments. The analytic reports can be run on a facility’s data or publicly available data.

Analytic Reports

Reports cover a wide variety of areas including:

• DRGs that have been identified with coding problems
• Correct sequencing of diagnosis codes
• Correct assignment of debridement
• Coagulation due to Coumadin, Lovenox®, or Arixtra®
• Bacteremia not Septicemia
• Observation unit coding
• Laboratory unit coding
• Respiratory therapy unit coding
• Drug Administration unit coding