1. Medicare RAC Auditors
Are Coming To Your Area. Will Your Practice Be Ready?
What is RAC?
The Recovery Audit Contractor (RAC) Audit is a program de-
signed to detect and correct improper past payments made for
Medicare claims to health care services.
What does this mean to me? RAC Auditors are coming to So why should I use your service
examine your patient charts and for a baseline audit prior to being
Prepare your practice for the im- attempt to identify improper audited by the RAC?
pending CMS RAC (Recovery
Audit Contract). Anyone who files payments that result from any of
By using a third-party audit in ad-
claims with Medicare will be au- the following:
vance, your practice can identify
dited, starting no later than January improper billing and coding prac-
of 2010. This includes physicians, • Incorrect Payments tices and take necessary corrective
hospitals, home health agencies, Based on lack of proper
actions prior to the RAC audit. This
and Durable Medical Equipment documentation on the chart notes.
can help you save both time and
providers. • Non-
Non-Covered Services money. In addition, you may find
Including those not considered areas in which you are being under
Waiting for Medicare to audit you reasonable and necessary. reimbursed as well. The audit
can prove costly if you do not • Incorrectly Coded Services works both ways. If you have been
know where your billing and cod- • Duplicate Services underpaid due to incorrect coding,
ing may be improper. The RACs etc. then you may collect that
are compensated on a contingency How can we help you prepare for the Medi- amount.
basis, so you can be sure they will
be aggressive in their audits. Any care RAC Audit?
Our process is easy and turnaround
overpayments found by the RACs time is quick. We will provide you
will need to be reimbursed to • We will perform a 50 chart random base-line
with a base line audit of your bill-
Medicare, which can collect their audit per physician ing and coding. Our audits are per-
reimbursement from any future formed by certified coders who
claims checks owed to you. It is have extensive experience doing
• We provide a detailed compliance summary
possible RAC auditors could im- government audits. After receiving
pose fines of up to $10,000 for on our findings with recommendations to the information we need from you,
each infraction. a report will be delivered approxi-
bring your documentation into Medicare
mately one week later. We will go
Compliance
over that report and help identify
and make suggestions as to areas
• We identify areas of underpayments and for improvement.
communicate this to you so proper coding
can be utilized to increase your reimburse- Prepare your practice for the im-
pending CMS RAC (Recovery Au-
ment rate. dit Contract). Our team will provide
a base-line audit on your documen-
Payment Automation Our Service cost $975 per tation and billing practices. Our
Network Inc. Audit - For a limited time! report will allow you time to make
Call any changes needed in your current
(Hospitals, SNF’s and HHA’s call for pricing)
practices.
(800) 813-3740 x 1 Call to schedule your RAC
PaymentAutomation.net
Independent Audit Today!
DON’T WAIT UNTIL MEDICARE AUDITORS SHOW UP! CALL NOW