decisionhealth Newsletters, Part B News - 2009 Issue 8 (August)
5 ways to proactively prepare your staff for the current list of RAC targets
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Article Overview
This article discusses practical preparation steps for practices responding to current recovery audit contractor (RAC) target areas. It is aimed at billing, compliance, and practice management staff who want to assess exposure, review claims activity, address potential overpayments, and prepare for possible audit correspondence and appeals.
Why This Topic Matters
It helps practices understand how to organize internal review efforts around audit risk and support compliance-minded response planning before an external review occurs.
What You Will Learn
- How to gauge whether your practice may be affected by current audit focus areas
- How billing and practice management teams can review claims activity for possible issues
- How retrospective claim review and voluntary repayment are framed in audit preparedness
- How practices should think about responding to audit demand letters and appeal readiness
Who Should Read This
- Billing managers
- Compliance staff
- Practice administrators
- Physician office staff
- Healthcare consultants
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