LTCHs, RACs and Medical Necessity Update
By Carol Burkhart, RN, MS, CNP, CPHRM, William Hammock, RN, BSN, CMC, ACM, and Stacey Donegan, CPC Read More...
By Carol Burkhart, RN, MS, CNP, CPHRM, William Hammock, RN, BSN, CMC, ACM, and Stacey Donegan, CPC Read More...
Success of the RAC Demonstration Project in Recouping Overpayments to Medicare Providers Leads to National Program Expansion. Read More...
Please click here for a copy of the PowerPoint slides from the March 3, 2009 McGuireWoods and Marsh webinar presentation entitled “RACs are Here: Are You Prepared?” This webinar addressed questions about what recovery audit contractors (or RACs) are, how to prepare for a RAC audit, how and when to respond to a RAC request for medical records or a demand letter, how and when to appeal a RAC overpayment determination, and a discussion of the other inherent risks embedded in the RAC audit process. Please feel free to contact me if you have any questions about the presentation or related to the RAC process or audits. Read More...
One of my colleagues, R. Brent Rawlings, JD, MHA, FACHE, recently wrote the below Client Alert and White Paper discussing the temporarily delayed expansion of the Recovery Audit Contractor (RAC) program. It is important to note that although RACs may initially focus their audit efforts on Medicare reimbursable services provided by acute care hospitals, LTACH Medicare claims are also subject to review by RACs. Read More...