RAC Audit Defense

Have you been the unlucky subject of a RAC audit?  Are you being subjected to extrapolated recoupments and penalties?

Before you simply capitulate and pay them, it would be prudent to confirm their findings.  Writing a small check to The Coding Network might eliminate or reduce a large check to these “bounty hunters.”  Their auditors may not be intimately familiar with your specialty, and their commission-only structure certainly gives them an incentive to assert that you’ve made coding errors or that your records don’t support your claims.  There may be some gray areas in your charts that they interpret against you.  We can audit the same encounters or operations they examined, and our findings may give you the ammunition you need to mount a credible defense.

Call 888-CODE-MED to learn more.

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Texas Physician Guilty in $325M Fraud Case Involving False Diagnoses

February 1st, 2020|Comments Off on Texas Physician Guilty in $325M Fraud Case Involving False Diagnoses

A Texas physician was found guilty Jan. 15 for his role in a $325 million healthcare fraud scheme that involved falsely diagnosing patients with various degenerative diseases and then administering chemotherapy and other toxic drugs [...]

Concern Raised Over Estimated Billions Shown in Chart Reviews

December 13th, 2019|Comments Off on Concern Raised Over Estimated Billions Shown in Chart Reviews

The Office of the Inspector General of the United States undertook a recent study in which they reviewed a myriad of Medicare Advantage organizations (MAOs). There were concerns that these MAOs may be using chart [...]

Office Manager and Wife of Conway Arkansas Doctor Arrested for Medicaid Fraud

November 27th, 2019|Comments Off on Office Manager and Wife of Conway Arkansas Doctor Arrested for Medicaid Fraud

Leslie Rutledge, an Attorney General for the State of Arkansas, announced today that a Conway Optometrist's Officer Manager had been arrested and charged with for defrauding almost $600K from the Arkansas Medicaid Program during the [...]