Claim, Billing, Coding, and Compliance Audits: Prepare your practice for the impending CMS RAC
(Recovery Audit Contract).
Our team will provide a base-line audit on your documentation and billing
practices. Our report will allow you time to make any changes in your current
practices.
Our clinical & billing assessments
traditionally include a random sampling of 50 patient encounters.
Medicare RAC Audit Assessments are completed
within 7-10 business days. Each in-depth evaluation includes 3 major focus areas - billing, coding
structure & medical necessity - and includes detailed evaluations by our
AAPC and/or AHIMA certified coders. Our team Medicare
reimbursement and billing compliance professionals are assigned according
to your specialty-specific coding needs. Not only are the billing
compliance professionals who perform the audits highly experienced, they
have extensive practice in performing audits for government programs. Our
management team sat in on the initial RAC tests and knows what the RACs are
looking for.
Our top auditor has 6 years government
contractor experience - was Program Manager for 2 large government audits.
Managed over 75 government coding auditors with reporting direct to the Surgeon
General’s Office. Was selected as Program Manager for the Viant team (RAC
contractor) for Physician Audit. And served as Subject Matter Expert on numerous
defense teams for Providers across the US in Medicare Fraud & Abuse during a 8
year period.
April 01, 2010 — Recovery Audit Contractor
Program Overview (RAC 101). The RAC program seeks to identify and recover
improper payments made on claims of health care services provided to Medicare
beneficiaries. Hospitals, physician practices, nursing homes and any other
provider or supplier that bills Medicare Parts A and B are at risk.
