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:

  • pam bondi

Florida AG Arrests Dentist and Office Manager for More Than $50,000 in Medicaid Fraud

February 8th, 2018|Comments Off on Florida AG Arrests Dentist and Office Manager for More Than $50,000 in Medicaid Fraud

Attorney General Pam Bondi and the Pembroke Pines Police Department arrested a dentist and their office manager for defrauding the Medicaid program out of more than $50,000.

Read the full story here.

  • Babiner_Dentist.2e16d0ba.fill-1200x630-c0

Bucks County dentist charged with $1.5M Medicaid fraud

February 5th, 2018|Comments Off on Bucks County dentist charged with $1.5M Medicaid fraud

Ilya Babiner, a Bucks County dentist, was charged Wednesday with 55 third-degree felony counts. Allegedly, the dentist filed a number of claims to the Medical Assistance Program between 2014 and 2016 seeking compensation for $1.5 […]

  • scripps-health

Scripps will pay $1.5M to settle billing fraud case

January 25th, 2018|Comments Off on Scripps will pay $1.5M to settle billing fraud case

Scripps Health in San Diego has agreed to settle allegations it violated the False Claims Act (paying $1.5 million), according to the Department of Justice. This resolves the allegations that Scripps had billed Medicare and […]

  • Orthopaedic-Surgery

CPT 2018 Changes for Orthopaedic Surgery

January 15th, 2018|Comments Off on CPT 2018 Changes for Orthopaedic Surgery

CPT 2018 Changes for Orthopaedic Surgery: It’s all about that Spine……almost

By Heidi Stout, CPC, COSC, CCS-P

 

Not much will change for orthopaedic surgery coding in 2018.  Most of the changes in CPT 2018 to the Musculoskeletal […]