February 4, 2009

HAS YOUR FACILITY BEEN RAC-AUDITED?

By

The RAC demonstration program that targeted hospitals in six states during a three-year test ushered in a sea change for the U.S. healthcare system.

 

The RACs, according to The Centers for Medicare & Medicaid Services, corrected more than $1.03 billion of improper Medicare payment. Of that amount, CMS says approximately 96 percent was overpayments collected from providers and a scant 4 percent was underpayments repaid to providers.

 

Much can be learned from the demonstration, and CMS hopes that providers will use the experience from it to help ensure that the claims they are submitting are correctly coded for services that meet the agency's coding and medical necessity policies.

 

Learning from peers provides an excellent opportunity to gain important insights and practical, hands-on advice. That is why, starting today, registered visitors to our Web site can share their experiences on the RAC Forum at racmonitor.com.

 

In preparation for the imminent rollout of the permanent program, we encourage those of you who participated in the auditing taking place at your facilities share your experiences with others.

 

If you haven't registered, do so today and learn, firsthand, from others how the RAC experience affected their facilities and how you could benefit from what they learned.

 

Go to www.racmonitor.com and register, or log-in at the RAC Forum.

 

Join the conversation.

 

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Chuck Buck

Chuck Buck is the publisher of RACmonitor and is the program host and executive producer of Monitor Monday.

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