In 2003, Congress created the Recovery Audit (RAC) program to help the Centers for Medicare and Medicaid Services (CMS) find and recover improper payments made by providers of Medicare and Medicaid. It took years, but it was finally implemented nationwide in 2009. Since then, the Recovery Audit program has been under some scrutiny, some calling it a witch hunt and others actually calling it RAC Fraud.
Remote medical coding companies, like Professional Dynamic Network of Chicago, offer healthcare providers essential services, specifically, remote medical records coding, transcription and billing services. Even large hospitals have considerable difficulty in keeping up with medical records coding and billing Medicaid, Medicare and insurance companies. Continue reading
Certainly by now you are familiar with the CMS RAC program. How familiar depends on whether or not you have had the good fortune to go through this process. Regardless if you’ve been audited or not, you should know a little about the process for your own protection as a provider of Medicare or Medicaid fee-for-service patients. Continue reading