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RAC Trac

RAC Trac. Updated Vendor Info April 2009. 1. OVERVIEW of AHA RAC Trac. 2. RACTrac Goals. Collect RAC Experience Data to create the AHA RAC Report for Advocacy Purposes Educate the field about trends in RAC audit activity

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RAC Trac

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  1. RACTrac Updated Vendor Info April 2009 1

  2. OVERVIEW of AHA RACTrac 2

  3. RACTrac Goals • Collect RAC Experience Data to create the AHA RAC Report for Advocacy Purposes • Educate the field about trends in RAC audit activity • Make data readily available for State, Regional, and Metropolitan and Hospital Associations to use for advocacy purposes • Make data accessible to multi-hospital health systems for advocacy and educational use • Make it simple for hospitals to report data to AHA for use in advocacy activities • Ensure data integrity and security • Provide basic tools for internally tracking RAC activity 3

  4. What is AHA RACTrac? • Web-based survey that will collect RAC experience data from hospitals • Unit of analysis is the hospital (and their units) • General Medical/Surgical Hospitals (including CAH’s) • This would include units in that hospital (rehab, SNF etc.) • Free-standing Long-Term Care Hospitals • Free-standing Psychiatric Hospitals • Free-standing Inpatient Rehabilitation Hospitals AHA will NOT collect information from hospital owned freestanding SNFs at this time • Financial impact (Overpayments and Underpayments) • Automatic and complex denials information (numbers and dollars) • Trends in types of services being reviewed and broad reasons for denial • Appeals information • Administrative burden • Quarterly data collection to begin after the permanent program rolls out and audits begin

  5. Data Collection Parameters • Nearly all data is cumulative and will be collected on a quarterly basis (Jan 1-March31 etc) • Its cumulative over years (2008-2009 etc) • NO demo data accepted • ONLY RAC audit data accepted • AHA RACTrac is FREE to hospitals (claim level and any information provided on the website) • AHA RACTrac is available for all hospitals - members and non members • AHA RACTrac is password protected and hospitals will obtain an organization ID and security code to gain entry into site and create a user profile.

  6. RACTrac Functionality –www.aharactrac.org Internal Hospital System Claim Level Guide CSV FILE In order for hospitals to provide RACTrac with summary level data on a quarterly basis, they must have a mechanism to track activity internally. AHA is providing a BASIC claim level Excel template that will guide hospitals' in tracking this data. It is specifically designed to summarize data to answer the survey. It will also export to a CSV file that can be loaded directly into www.aharactrac.org RACtrac Compatible Vendor may create a CSV File upload or a Report Collect RAC Experience Data (SURVEY QUESTIONS) www.aharactrac.org Report RAC Experience RAC Contact Database AHA will post aggregate data on a quarterly basis for RACTrac registered users. For more information read our RACTrac Advisory available at www.aha.org/rac RACTrac’s primary purpose is the collection of RAC experience data from hospitals on a quarterly basis and to maintain it in a secure location. . Email Functionality 6

  7. What does it mean to be RACTrac Compatible? • To earn the title RACTrac Compatible, AHA will validate that the product will aggregate RAC experience data in a way that will answer AHA’s RACTrac survey questions (excluding Administrative Burden Questions). • HOW – 2 options available to Vendors • Create a summary report that can be used by hospitals to manually enter their data at www.aharactrac.org • Create a CSV file that matches the AHA RACTrac CSV file for upload into www.aharactrac.org • AHA will not provide for seamless upload from another product into RACTrac. The hospital must register and enter or upload data themselves on a quarterly basis. • Having your name listed on the vendor list does not mean you are RACTrac compatible – the status column will indicate compatibility date

  8. AHA Disclaimer • A vendor's appearance the AHA list implies neither support nor endorsement of any particular product of vendor, but rather this list is provided solely as background for those who are looking to identify a product for their organization. • List will be updated as needed • The compatible status column will change as individual products compete the testing and validation process – noted on our website • At NO time should AHA’s name be used inappropriately in marketing materials to hospitals. • Failure to comply will result in immediate removal from the list.

  9. Continued Compatibility with RACTrac • AHA hopes to make only ANNUAL updates to the survey when needed (e.g. claim level tool and survey questions) • AHA will provide vendors with the list of updates prior to implementation and distribute a timeline for implementation • Updates will likely include new denial reasons or additional questions to the site that will reflect changes in the program and impact on providers • Vendor calls will continue as appropriate • AHA is committed to working with vendors on an ongoing basis regarding RACTrac related initiatives

  10. QUESTIONS Vendors should direct their questions to our RACTrac Support Line at RACTracsupport@providercs.com or 1-888-RAC-TR1C (1-888-722-8712) 10

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