TBS RAC Analytics

• Are you ready for Recovery Audit Contractors (RACs) and other audits of your coded data? TBS highlights your risk areas through TBS RAC Benchmarks.
• Are you confident that the RAC audits will not identify any potential compliance issues? By knowing your risk areas you can do your chart reviews efficiently and effectively.
• Where are you underpayment opportunities? Concurrently identify claims for review prior to claim submission and recognize revenue you are entitled to bill.

Why Total Benchmark Solution?

• Reduce RAC takebacks
• Identify underpayments
• Implement actions that will prevent improper claims and coding
• Benchmark your organization against peers to determine what and where your biggest risks are

Web Based Configuration:

The TBS RAC Solution is completely web-based. The only requirement is internet access and a web browser.

Benchmarking Your RAC Risks and Opportunities:

The TBS RAC Solution shows you where your organization ranks against TBS’ proprietary RAC benchmark database. The benchmarks provide your organization the ability to compare its coding and claims results against meaningful peer groups by Geography, Bed Size, Specialty and Teaching Status. The system can also run comparisons against your own coding and claims, as well as track improvements.
RAC Benchmark Review Areas:

Coding or Billing Errors - Under Coding Incorrect Billing Units Over - Coding due to unsubstantiated CCs/MMC One Day Stays Short Stays Analysis of Transfers Outliers Analysis Principal Procedure and Principal Diagnosis Mismatch Surgical Procedures in the Wrong Setting Duplicate Services Medical Necessity Underpayments