Recovery Audit Contractors Threat to Cardiac Service Lines Profitability and Subsequent Quality of Care

Despite focused marketing efforts, Cardiac and Vascular margins are being threatened by two forces, one external and the other internal.  The most pressing at this time is the external threat by Recovery Audit Contractors (RAC) focus on the medical necessity of one day inpatient stays. Cardiac procedures are especially lucrative for RAC review because of the sheer dollars associated with them.  Hot focus areas are definitely  one day inpatient stays for implantable defibrillators (ICD) , EP studies/ablations and probably percutaneous coronary procedures (PCI)  along with multiple medical cardiac cases.

$3.1 billion of the $3.8 billion 2008 one day stay payment is Cardiac, Is your Facility on the top of the list of those at risk?

CCP Knows Your Facility's Potential Revenue Impact for one day stays. We can give a close estimate of high risk case volumes, MS-DRGs and the reimbursement associated with those risky cases. 

Now offering the comprehensive tool for CV programs RAC Readiness and Response

The RoadMap™

  Call or email us at 1-888-253-9597 or lford@consultcarepartners.com