Texas hospital reports above average RAC standings

June 14, 2011The hospital is currently receiving requests for less than 0.5 percent of its Medicare patient care listings.

After a year of scrutiny by recovery audit contractors, officials at Titus Regional Medical Center in Mount Pleasant, Texas, recently reported that the number of audit demand letters received by the healthcare provider have decreased, according to the Mount Pleasant Daily Tribune.

David Taylor, director of patient financial services at TRMC, told the news source that the hospital is currently receiving requests for less than 0.5 percent of its Medicare patient care listings.

"We anticipated they would request 45 records every 45 days, but we have not seen that volume at all," he told the newspaper. "These amounts are far less to date than projected, and less than internal risk assessments conducted prior to the start of the RAC activities."

According to the latest RAC Trac survey by the American Hospital Association, hospitals appealed nearly one in four RAC denials with a 71 percent success rate, Becker's Hospital Review reports.

In Texas, more than 30 hospitals had a total of 738 claims denied for almost $3 million, and nearly 40 had 871 complex claims or medical record denials for almost $15.6 million.

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Category: Recovery Audit

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