Medicare RAC Auditors Are Coming To Your Area -
What is "the RAC"?
- The Recovery Audit Contractor (RAC) - is a program designed to detect and correct improper past payments made on claims of health care services provided to Medicare beneficiaries.
- Since the start of the program in 2003,$1.03 billion of improper Medicare payments have been identified, with 96% of these payments representing overpayments.
Beginning soon in this Area!
RAC Auditors may potentially examine your patient charts and attempt to identify improper payments that result from any of the following:
- Incorrect Payments-(Based on lack of proper documentation of the chart note).
- Non-Covered Services - (Including those not considered reasonable and necessary).
- Incorrectly Coded Services.
- Duplicate Services.
How can we Help You Prepare for the Medicare RAC Audit
- We will perform a 50 chart random baseline audit per physician.
- We provide a detailed compliance summary on our findings with recommendations to bring your docummentation into Medicare compliance.
- We identify areas of underpayments and communicate this to you so proper coding can be utilized to increase your reimbursement rate.
Our RAC Services Include:
- Certified Coding Auditors
- Evaluation & Management (E & M) by specialty.
- Documentation Compliance rules for all levels of service.
- Review of correct diagnosis coding.
- Coding expertise for all specialties.
- Determination of medical necessity.
| DON'T WAIT UNTIL MEDICARE SHOWS UP !!! |
