decisionhealth Newsletters, Part B News - 2009 Issue 7 (July)
Non-par providers still subject to RAC audits when filing assigned claims
Subscribe or sign in to view the full article.
Article Overview
This article covers Medicare recovery audit contractor (RAC) review in the context of non-participating providers and assigned versus unassigned claims. It is relevant to billing staff, practice managers, and compliance professionals who want to understand how payer review activity may still affect non-par practices and what general considerations are associated with choosing non-par status.
Why This Topic Matters
Understanding when Medicare claims may still be subject to review helps practices assess audit exposure, reimbursement flow, and the broader operational impact of billing as a non-par provider.
What You Will Learn
- How RAC review relates to assigned and unassigned Medicare claims
- Why non-par status does not eliminate all audit exposure
- General business considerations associated with choosing non-par participation status
- How Medicare payment flow affects reviewability in broad terms
Who Should Read This
- Medical practice administrators
- Billing and coding staff
- Compliance professionals
- Physician office managers
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com