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RAC CERTIFICATE PROGRAM PRECONFERENCE QUESTIONS
Candidates in the Certificate program are encouraged to think about the following questions in advance, since they will help frame many of the issues to be covered in the RAC Summit presentations.
- Does your organization have a RAC Readiness Committee? If so, how frequently do you meet and what functional areas are represented on the committee?
- Does your organization have a RAC Coordinator responsible for overseeing RAC Readiness as well as responses to requests received from the RAC or MAC? If so, what are this person's qualifications and previous position, if applicable? What responsibilities will this person have and who will they be reporting to?
- Has your organization either developed or purchased a tool to track RAC (and perhaps other) requests and the status of claims from the point of the RAC request through resolution of the request, including any appeals?
- Has your organization been participating with your State association or other industry organizations to assist with preparations for the RACs, including identifying contact people at the RACs and sharing of common issues faced by other healthcare organizations?
- How is your organization planning on handling appeals of RAC determinations? Are you planning on partnering with a law firm and/or any outside consultants with expertise in medical necessity, coding and documentation requirements?
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