tci Part B Insider - 2011 Issue 32

Audits: RACs Can't Catch You Off-Guard If You Use These Simple Strategies

It's time to improve your billing, documentation.The RAC program is fully on-board with Medicare and is soon coming to Medicaid--and that means the audit contractors may become a much bigger threat to your reimbursement than they have been under Medicare.Last year's Patient Protection and Affordable Care Act's requires that RACs audit Medicaid claims just like they do Medicare claims. Because RACs' income is specifically tied to the amount they recover, and is based on a percentage of the overpayments they identify, you can expect they'll be looking through your claims with a fine-toothed comb.Prepare now: Despite...

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