Medicare Rac Audits

Medicare RAC audit base line - What is RAC?

CAR (s)-Recovery Audit Contract will continue to identify Medicare claims that contain non-MSP irregular payments which payment was made or should have been made under Part A or B Title XVIII of the Social Security Act.

In 2006, Article 302 of the Tax Relief and Health Care Recovery Act of verification made contractor (RAC) program permanent. The program will be implemented in 50 states and Puerto Rico 2010. The stated objective of recovery audit program is to identify improper payments on claims paid to providers of health care among Medicare beneficiaries. These can be either over or under. A demonstration program in California, Florida and New York was considered a success and after the Congress made the RAC program permanent. The demonstration in 6 states have resulted in the return of more than $ 900 million in overpayments Trust Fund health insurance between 2005 and 2008 while nearly 38 million dollars was returned insufficient suppliers health.

What does this mean for me?

Medical claims audits represent significant risk to revenue and profit margins for any health professional. These audits generally include very complex appeal process with severe sanctions such as automatic recovery of funds if the appeal periods are not met. We can help you prepare for the RAC audit.

Prepare your practice for the next CMS RAC (Recovery Audit Contract). Any person who claims to Medicare will be checked, starting no later than January 2010. This includes doctors, hospitals, home health agencies and permanent medical equipment suppliers.

Waiting for Medicare to verify that you can prove costly if you do not know where your billing and coding may be incorrect. RACs are paid on an emergency basis, so you can be sure they will be aggressive in their audits. Any overpayment found by the RACs should be repaid to Medicare, which can collect their refund checks of potential future claims due to you. It is possible RAC auditors could impose heavy fines of up to $ 10,000 for each violation.

Medical claims audits represent significant risk to revenue and profit margins for any health professional. These audits generally include very complex appeal process with severe sanctions such as automatic recovery of funds if the appeal periods are not met. We can help you prepare for the RAC audit.

CMS RAC program: Are you a target?

Any person who claims to Medicare will be checked, to begin no later than January 2010. This includes doctors, hospitals, home health agencies and permanent medical equipment suppliers.

So why should I use your service for a baseline audit before being checked by the RAC?

Using a third party audit in advance, your practice can identify improper billing and coding practices and take corrective action before the RAC audit. This can help you save time and money. In addition, you can find areas where you are reimbursed under both. Verification of two ways. If you have been underpaid because of incorrect coding, etc., you can collect that amount.

Our process is simple and the turnaround time is fast. We will provide a baseline audit of your billing and coding. Our audits are performed by certified coders who have extensive experience to conduct audits of government. After receiving the information we need from you, a report will be delivered approximately one week later. We will go over the report and help to identify and make suggestions as to areas for improvement.

Prepare your practice for the watches.