Overview

The Center for Medicare and Medicaid Services (CMS) implemented a Comprehensive Error Rate Testing Program and began producing error rates and estimates of improper payments to evaluate contractor and program performance. Since inception of this program CMS has recovered nearly $900 million in Improper Medicare Payments.

Recovery Audit Contractors will soon make their way into every state nationwide by January 2010. Track, trend and monitor RAC impact and hospital performance, what is gained, and what is lost RAC audits come with heavy staffing burden, responding to inquiries, and tracking communication.

Plato RAC Tracking workflow tool is a web based SAS model that needs little to no IT involvement. Anyone that has rights, can sign on by using their e-mail and password. The application comes equipped with the Code of Federal Regulations (CFR) which is updated on a regular bases.

The application is not limited to just RAC reviews it is also set up to do your MIC, CERT, PERM, QIO and more.

What you can do with the Plato RAC Track Application

Plato RAC Track, an easy to use web-based tracking tool. No installation or IT resources required just a user name and password that’s it! With Plato RAC Track you have the ability to track RAC requests from beginning through:

• Rebuttal
• Appealed
• Won!

Let Plato RAC Track keep track of all your outcomes. The easy to use tracking software includes some of the following capabilities:

• Use Plato RAC Track to monitor other audits e.g. MIC, CERT, PERM etc.
• Track RAC requests, daily or weekly, by account or patient, date of receipt, type of request, etc...
• Automatic reminders, receive alerts through MS Exchange, Groupwise, etc.
• Auto-Populate demographic info from ADT data, 835, 837 remittance data
• Monitor original amount billed, suggested, and finalized amount
• Report on open requests, tasks due, activities by request, appeals, denials and more
• Track, trend, and predict RAC vulnerabilities using the latest in Artificial Intelligence technologies
• Powerful Analyzer “Cube” provides n-dimensional view of data anyway you want it simply by dragging and dropping.

• Implementation Guide
• Training Guide Part I
• Training Guide Part II