RAC Defense & Education Program


Prepare to respond quickly and accurately to RAC audits.

RAC audits are extremely costly to hospitals, both in revenue reductions from overpayment requests and in resources required to manage the process. Without the staffing and experience to properly research and defend claims, hospitals frequently accept the RAC findings and lose significant revenue.
NHR’s seasoned staff of physicians, coders and nurse auditors have successfully defended and overturned RAC audits. Our success rate is in excess of 83%.

NHR’s programs assist hospitals to rapidly respond, properly manage, and defend claims against RAC audit findings.
Our Services

The breadth of experience and diverse backgrounds of our professional staff affords us the opportunity to offer a wide range of clinical-financial auditing solutions that include:

Charge Capture Reviews
Charge Description Master Reviews
Insurance Defense Audits
Coding Services
RAC Defense & Education Program
Appeals & Denials
Managed Care Contracting
Managed Care Reviews
  • Assist in preparing responses to initial RAC letter
  • Validate CMS auditor findings
  • Defend against inappropriate overpayment requests
  • Develop educational programs to strengthen documentation and improve coding accuracy
  • Perform baseline coding audit to determine client exposure
At NHR, we have successfully represented clients during the RAC audit process. We are here to assist you, every step of the way.

For more information, contact us: info@nhri.com
Home     |     Services     |     Employment     |     News     |     Contact Us     |     Site Map