News

With the RAC program expected to roll out in February, healthcare experts are advising hospitals to begin preparing for impending audits.The best advise: begin preparing now by conducting internal claims audits using data mining or claims analysis software. Use software to carefully track the status of all pending claims audits.…
The Medicare program is a $276 billion operation. Every minute 9,579 claims are processed. The Centers for Medicare and Medicaid Services (CMS) are concerned about the accuracy of the payments made to providers. CMS data analysis indicates an error rate of 3.9 percent. While this does not sound like a…
How RAC Preparation and Your Compliance Program Can Work Together It is my pleasure to write my first article for the RAC Monitor. With over 25 years of healthcare management experience including 11 years in Healthcare Regulatory Compliance, with hospitals (as a Compliance Officer), physicians’ groups and the pharmaceutical industry,…
Old Solutions, Appellate Strategies No Longer Effective in Dealing with RACs As your facility starts to organize a RAC strategy, many firms will try and offer solutions to best deal with the impending audits. But the RACs present a situation where the old solutions of random audits, software or appellate…
by Chuck Buck Even as The Centers for Medicare and Medicaid are preparing for the launch of the permanent Recovery Audit Contractor program, subject matter experts in healthcare information and technology are now reporting on crucially important issues in RacMonitor.Enews, a bi-weekly publication from RACMonitor. Guiding and shaping the editorial…
Error Rate of 3.9% Translates to $10.8 Billion Annually — CMS The Medicare program is a $276 billion operation. Every minute 9,579 claims are processed. The Centers for Medicare and Medicaid Services (CMS) are concerned about the accuracy of the payments made to providers. CMS data analysis indicates an error…
How RAC Preparation and Your Compliance Program Can Work Together It is my pleasure to write my first article for the RAC Monitor. With over 25 years of healthcare management experience including 11 years in Healthcare Regulatory Compliance, with hospitals (as a Compliance Officer), physicians’ groups and the pharmaceutical industry,…
Each of us at some time has 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 of healthcare services will likely have heard or thought of the…