Today’s the day you learn how much you know about the RACs, and how prepared you are for them to launch fishing expeditions into your claims. Last week, we posted this RAC quiz,…
Continue reading...Monday, March 1, 2010
Think the Recovery Audit Contractors are sticking to big-money providers? Think again. Medicare’s audit bounty hunters may not yet have specified home health agency or hospice topics for review, but that doesn’t mean you have nothing to worry about from…
Continue reading...Monday, February 22, 2010
Dirty little secret: The RACs flagged $1.03 billion in improper payments — and only 2 cases of fraud. If you’re wondering how often a Recovery Audit Contractor’s review of overpayments turns into a federal fraud investigation, a
Continue reading...Monday, December 7, 2009
Hint: An LCD isn’t just an LCD. It just might be your secret weapon. When you think about Recovery Audit Contractors coming after your health care organization, you may feel a little like this comic book lady to the…
Continue reading...Monday, October 5, 2009
Photo: Casito, Wikipedia RAC ‘issues’ for Northeast, Midwest revealed, and we’ve got the links. It’s official, providers in RAC regions across the country now know what ‘issues’ the RAC auditors in their…
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...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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Friday, March 5, 2010
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