Tag Archive | "Recovery Audit Contractor"

Are You RAC-Ready, Healthcare Providers?

Friday, March 5, 2010

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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,

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Audits: RACs Pile On More Home Care Review Topics

Monday, March 1, 2010

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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…

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OIG Wants CMS to Train RACs to Spot Fraud

Monday, February 22, 2010

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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

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Defend Yourself Against a RAC Attack

Monday, December 7, 2009

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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…

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What To Do Next, Now That You Know the RAC Targets

Monday, October 5, 2009

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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…

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2 RACs Reveal Their To-Do Lists

Monday, September 21, 2009

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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…

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Stay a Step Ahead of the RACs With 2 Strategies

Wednesday, July 29, 2009

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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…

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Look for RACs to Target Ultrasound Claims

Monday, July 20, 2009

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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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