Most Experienced

Many may offer RAC support but only EHR's programs help more than 1,000 hospitals maintain regulatory compliance, protect revenue, and reduce costs.

EHR strongly encourages clients to pursue a proactive, concurrent approach to avoid RAC issues. The EHR Physician Advisor team has successfully performed more than one million medical necessity reviews.

EHR is ingrained in the details of the RAC program and what the demonstration—and ultimate national program roll out—means for our clients. EHR's experience with RAC appeals in New York, California, Florida, and South Carolina, as well as the knowledge gained from processing approximately 1,000 QIO and RAC appeals every month, enables EHR to identify trends and to be immediately aware of any new areas facing RAC audit scrutiny.

EHR solutions include:
  • RAC Denial Management & Appeals
  • Real-Time Inpatient vs. Observation Status Certification
  • MAC, Medicaid & QIO Denial Appeals
  • Interventional Cardiac Procedure Review
  • Concurrent/Retrospective Managed Care Denial Appeals
  • Readmission Review & Certification