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eSolutions’ services provide ease of monitoring Medicare claims.
Marie Murphy
Business Office Manager
Lake Region Healthcare Corporation

Recovery Audit Contractors (RAC) Audit Analysis
How can we help?
With the Centers for Medicare and Medicaid Services (CMS) establishing the Recovery Audit Contractors (RACs) as a permanent program, it is more important than ever that your facility put safeguards in place to stop compliance violations. The first step in managing claims affected by the RAC audit is to identify them. To assist with this, eSolutions offers a comprehensive RAC audit tool in our RAC Analyzer product.

RAC Analyzer is designed specifically for tracking and reporting RAC audit claims. Not only can it quickly identify affected claims through our convenient web interface, but it’s easy to immediately review the auditor’s determination. RAC Analyzer can be configured to provide automated reporting to show you when a claim is affected by a RAC auditor. RAC Analyzer can separate claims by work model to show you exactly how the RAC audit is influencing your cash flow.

RAC Analyzer allows hospitals to:

  • Identify RAC audit risks and potential compliance violations
  • Immediately correct potential violations
  • Identify areas of weakness
  • Develop a comprehensive plan to prevent further violations
When you need to appeal a decision by a RAC auditor, eSolutions recommends our Appeals Manager tool. Appeals Manager automatically analyzes denied claims, providing workflow solutions, appealing denials and offering ad hoc and comprehensive automated reporting. RAC claims are also stored in their own audit bucket for special tracking purposes.

Once you receive a RAC audit determination letter, Appeals Manager can manage the outcome (whether favorable or unfavorable). It produces reports designed for management, audit trail and trending purposes. Features include:


With RAC Analyzer and Appeals Manager, your facility gets a complete solution for dealing with RAC audits. Our package will prove invaluable for keeping up your cash flow and tracking the cost and time your facility incurs due to RAC audits.

Request more information on RAC Analyzer and start your free trial today!


Subscribers of RAC Analyzer also commonly utilize:
  • Denial Management: Appeals Manager is our Web-based denial management and automated appeals management system.


  • Part A Claims Management: MedicareSAM is our Medicare Part A claims management and revenue cycle management tool. It provides workflow automation as well as trending and analysis reporting.