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

Rac audit flyer

  • 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