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.
Tag Archive | Medicaid records coding
Health Information Exchange Benefits
In the eyes of expert healthcare professionals, health information exchange benefits result from a system that establishes electronic mobilization of healthcare information over different organizations that are connected within a hospital, community or regional healthcare system. Continue reading
Remote Medical Coding Companies—Solving Your Medical Records Backlog
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
The CMS RAC Audit Process
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
Changing The CPT Outpatient Coding Guidelines
Do you as a physician or healthcare provider actually have time to manage the medical coding portion of your practice or facility? CPT codes are always changing and you medical coders MUST keep up with these changes, either on your time or their own. Do you know if they are?
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