RAC Preparedness Starts NowBy Bret Bissey, MBA, FACHE, CHC
Original story posted on: December 10, 2008
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.
Thirty-three percent of hospitals preparing for RAC have installed new software to capture correct documentation, coding and billing, according to a recently published study conducted by an independent national survey on behalf of Wolters Kluwer Health.
HIM directors at medium-sized hospitals reported they are most likely (47 percent) to install new software, compared to 16 percent of those at small hospitals and 35 percent of those at large hospitals. Only 18 percent of the HIM directors taking steps to improve Medicare claims accuracy reported their facility has hired additional coders.
According to the survey, coding experts say doctors and hospitals that don't prepare now for the upcoming federal crackdown on Medicare billing could face bills amounting to six figures, referrals to fraud enforcers and possible jail time.
As the Boy Scouts say, “Be Prepared.”
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