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.

Latest Blog Posts:

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Maryland Treatment Centers Agrees to Pay $500,000 to Resolve Allegations That It Submitted Claims for Services That Were Undocumented or Not Provided

November 21st, 2018|Comments Off on Maryland Treatment Centers Agrees to Pay $500,000 to Resolve Allegations That It Submitted Claims for Services That Were Undocumented or Not Provided

Maryland Treatment Centers has consented to pay the United States $500,000 to settle charges under the False Claims Act that it submitted false cases to the United States for psychological wellness and substance misuse benefits […]

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Clinician Letter Reducing Burden Documentation

November 19th, 2018|Comments Off on Clinician Letter Reducing Burden Documentation

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Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2019

November 17th, 2018|Comments Off on Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2019

Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2019

On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates […]

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CMS says it will recover $1B in ill-advised Medicare installments by 2020

November 15th, 2018|Comments Off on CMS says it will recover $1B in ill-advised Medicare installments by 2020

CMS said it is ready to hook back $1 billion from Medicare Advantage associations by 2020 through far reaching reviews, as indicated by a proposed standard.

Here are five things to know:

1. The standard, set to […]