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  • Preparing Records for RAC Scrutiny – The Role of the Physician Query

    Created: 2009-12-28 05:00:00 Author: George Kelley
    By: George L. Kelley, MS, MBA   In preparing your facility for RAC reviews, our organization has supported and championed a data mining approach that will identify specific cases at risk for review by the RACs. Once these cases are identified, they n...

  • The RAC Recoupment Rollout: It Already Started, Before the Letters Were Sent

    Created: 2009-12-09 05:00:00 Author: Samuel A. Donio, Jr., MBA
    This time last year, in the first RACMonitor edition, I discussed the potential rollout of the RAC recoupment process on a regional and state-specific basis. As we all are well aware, the original rollout plans never came to fruition, but I would venture ...

  • Federal Government Ramps Up to Review Medicare and Medicaid Error Rate Data

    Created: 2009-12-09 05:00:00 Author: Carla Engle, MBA
    In this era of reducing improper healthcare payments, providers obviously are gearing up for some major league defense against the RACs, ZPIC, MICs and other governmental auditing bodies by shoring up their coding and billing practices. But there also hav...

  • RACs: There’s No Turning Back Now

    Created: 2009-12-02 20:10:47 Author: Patricia Dear, RN
    "On your mark, get set, go!" ... Each of us at some time have heard and responded to this phrase, whether in our personal or professional lives. The phrase anticipates our action, or reaction to a "race" or challenge. Those of us engaged in some aspect o...

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