RAC Guard™ – Feature Specification List
 
RAC Guard™

Module Feature Wellington
RAC Guard™
Other
Vendor
System Web-based (.Net/SQL Server/LDAP) Included Feature
Multiple hospitals/entities Included Feature
Secure FTP claim upload process (daily database updates) Included Feature
Secure remote access by authorized external users (e.g., coders, attorneys) Included Feature
Management User can turn individual issues on or off Included Feature
Prevention Edit current and historical claims for RAC issues Included Feature
Ongoing updates to include newly released RAC Issues Included Feature
Assess risk of selection/denial for each claim (separate methods for coding and medical necessity issues) Included Feature
Determine number of claims with issue and financial exposure Included Feature
Monitoring Vulnerability trends with drilldowns by DRG, physician, etc. Included Feature
RAC target issue trends with drilldowns by DRG, physician, etc. Included Feature
Financial impact analysis and trends Included Feature

RAC Guard™


 

Contact Information Contact The Wellington Group for more information