MedAssets, Inc. (NASDAQ: MDAS) announced today the release of its
Medicare Recovery Audit Contractor (RAC) solution to support healthcare
providers’ strategies to address RAC audits.
The Company’s proprietary RAC solution
leverages MedAssets’ expertise in medical
necessity documentation, clinical appeals recovery and Medicare
reimbursement management.
MedAssets’ comprehensive RAC solution assists
providers throughout the entire RAC audit process –
from assessment to appeal – and provides
overall revenue integrity solutions for long-term financial performance
improvement. The Company’s solution provides a
RAC workflow tool that helps hospitals manage RAC audit timelines and
activities, automate deadline notifications, track activity and audit
historical claims to identify vulnerabilities. In addition, the Company’s
consulting services assess reimbursement risk and its RAC appeal and
recovery services help providers manage, defend and appeal RAC audits.
“Our business is focused on improving
financial performance for hospitals and health systems, which is
supported by our full suite of revenue cycle management solutions and a
core understanding of reimbursement management,”
said DT Nguyen, president of the revenue cycle management segment,
MedAssets, Inc. “Providers face impending
Medicare RAC audit programs that have the potential to severely impact
their bottom lines. MedAssets’ expertise in
compliance, Medicare reimbursement and revenue integrity makes us the
natural strategic partner to assist providers in achieving their
compliance goals.”
Beyond reimbursement management, MedAssets’
suite of revenue cycle management solutions include concurrent denial
management, claims management, contract management, and Web-based
data-driven applications that specifically address revenue integrity in
the areas of patient estimates, charge capture, and clinical
documentation. MedAssets’ end-to-end
solutions offer providers a means to close the financial gaps created by
RAC audits and other Centers for Medicare and Medicaid Services (CMS)
initiatives.
Medicare’s RAC program is one of multiple
initiatives launched by the CMS to stop improper payments before a claim
is paid, and identify and recoup improper payments after the claim has
been paid. The program has recovered more than $900 million in Medicare
overpayments and nearly $38 million in underpayments returned to
healthcare providers in the three-year RAC demonstration program in
California, Florida, New York, Massachusetts, South Carolina and
Arizona. According to a September 2008 RAC report, approximately 19.6%
of providers appealed their cases, and only 6.8% of audits were
overturned on appeal. The RAC program is expected to rollout nationwide
by 2010.
About MedAssets
MedAssets (NASDAQ: MDAS) partners with healthcare providers to
improve their financial strength by implementing integrated spend
management and revenue cycle solutions that help control cost, improve
margins and cash flow, increase regulatory compliance, and optimize
operational efficiency. MedAssets serves more than 125 health systems,
3,300 hospitals and 30,000 non-acute care healthcare providers. For more
information, visit www.medassets.com.