Medicare RAC Audit
CMS Recovery Audit Contractor Program – Are you a target?
Uploaded by MedicalSocietyofVA on Jul 1, 2009 CMS’s Recovery Audit Contractor (RAC) program is coming to Virginia in October 2009. Is your organization ready? 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 [...]
Read Full Post | Make a Comment ( None so far )Reporting of Recoupment for Overpayment on the Remittance Advice (RA)
This article was revised on April 25, 2011, to correct a statement on Page 2 that stated the RAC must report a recoupment in two steps. Actually, it is the remittance advice that reports the recoupment in two steps and the article has been corrected accordingly. All other information is the same. http://www.palmettogba.com/palmetto/providers.nsf/ls/Jurisdiction%2011%20Part%20B~8B4R4G0273?opendocument [...]
Read Full Post | Make a Comment ( None so far )“Recovery Audit Program Demonstration High-Risk Medical Necessity Vulnerabilities for Inpatient Hospitals” Podcast Released!
The Medicare Learning Network® has released the first in a series of podcasts designed to educate Fee-For-Service providers about how to avoid common billing errors and other improper activities when dealing with the Medicare Program. This podcast – titled “Recovery Audit Program (RAP) Demonstration High-Risk Medical Necessity Vulnerabilities for Inpatient Hospitals” – is based on [...]
Read Full Post | Make a Comment ( None so far )The Four Steps of Developing a Medical Practice Compliance Program
The health care regulation laws that now exist were created to ensure that the interest of every medical group will be protected. Failing to abide by such laws could pose significant risk due to fines, penalties and even potential criminal charges. Benefits of a well designed compliance plan consist of the following at a minimum: [...]
Read Full Post | Make a Comment ( None so far )Review of Place-of-Service Coding for Physician Services Processed by Medicare Part B Carriers During Calendar Year 2007
Executive Summary We found that physicians did not always correctly code nonfacility places of service on Medicare Part B claims. Based on our sample results, we estimated that Medicare contractors nationwide overpaid physicians $13.8 million for incorrectly coded services provided during calendar year 2007. To account for the increased overhead expense that physicians incur by [...]
Read Full Post | Make a Comment ( None so far )RACs next target: Medicaid improper payments
July 28, 2010 — 7:07am ET | By Debra Beaulieu CMS’ controversial recovery audit contractor (RAC) program, now operating permanently under fee-for-service Medicare nationwide, is set to next expand to indentify improper payments under Medicaid, reports American Medical News. Provisions under the Patient Protection and Affordable Care Act also call for a permanent expansion [...]
Read Full Post | Make a Comment ( None so far )Findings from Recent Medicare Audits Webinars
Would your documentation stand up to a Medicare audit? Are you familiar with the Medicare Audit Agencies? If you have questions about Signature Guidelines, Orders and Appropriate Documentation please join us for a Facts & Findings from Recent Medicare Audits Webinars. These one hour webinars are sure to assist with those issues and provide [...]
Read Full Post | Make a Comment ( None so far )Facts & Findings from Recent Medicare Audits Webinars:
Facts & Findings from Recent Medicare Audits Webinars: Would your documentation stand up to a Medicare audit? Are you familiar with the Medicare Audit Agencies? If you have questions about Signature Guidelines, Orders and Appropriate Documentation please join us for a Facts & Findings from Recent Medicare Audits Webinars. These one hour webinars are sure [...]
Read Full Post | Make a Comment ( None so far )RAC’s next target: Medicaid Improper Payments
CMS’ controversial recovery audit contractor (RAC) program, now operating permanently under fee-for-service Medicare nationwide, is set to next expand to indentify improper payments under Medicaid, reports American Medical News. Provisions under the Patient Protection and Affordable Care Act also call for a permanent expansion to Medicare Advantage and the Medicare drug benefit, in [...]
Read Full Post | Make a Comment ( None so far )Facts & Findings from Recent Medicare Audits Webinars
Facts & Findings from Recent Medicare Audits Webinars: Would your documentation stand up to a Medicare audit? Are you familiar with the Medicare Audit Agencies? If you have questions about Signature Guidelines, Orders and Appropriate Documentation please join us for a Facts & Findings from Recent Medicare Audits Webinars. These one hour webinars are [...]
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