RACs are watching 97001, 97003, for example. Last week, HC Compliance Essentials summarized the list of RAC targets so far, and suggested some self-audit precautions. This week, let’s look at what RAC scrutiny…
Continue reading...Monday, September 21, 2009
We show you how to suss out billing mistakes the RACs are after, and how to keep your self-audits on the up-and-up. Two Recovery Audit Contractors have posted their “audit issues” online, and it’s an eye-opening of coding and billing…
Continue reading...Tuesday, August 25, 2009
Warning: Even if you voluntarily refund improper payments to your MAC, the RAC might still audit the claim. If you’ve been sweating it out, waiting for the recovery audit contractors (RACs) to announce where they’ll focus their audit efforts, two…
Continue reading...Wednesday, July 29, 2009
Question: We think we’ve found a billing system error at our SNF that may have led to some incorrectly coded claims. With the stepped-up MAC and RAC audits going on out there, what do we do? Answer: Giving your claims…
Continue reading...Monday, July 20, 2009
Plus: The OIG identifies 20 counties it classifies as “high use” for ultrasounds. The OIG is watching ultrasound claims – and it doesn’t like what it sees. An OIG audit of ultrasound services billed in 2007 found that nearly one…
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Monday, September 28, 2009
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