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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Pakistani transcriber threatens UCSF over back pay

June 18th, 2018|Comments Off on Pakistani transcriber threatens UCSF over back pay

A woman in Pakistan doing cut-rate clerical work for UCSF Medical Center threatened to post patients’ confidential files on the Internet unless she was paid more money. To show she was serious, the woman sent […]

  • Termination of employment

Missouri hospital allegedly fired coder for refusing to ignore improper billing

June 15th, 2018|Comments Off on Missouri hospital allegedly fired coder for refusing to ignore improper billing

Debra Conrad, a medical coder sued Mosaic Life Care Medical Center in St. Joseph, Mo., May 25 for wrongful discharge, unlawful retaliation and age discrimination. She alleges Mosaic Life Care fired her for disclosing the […]

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Woman convicted for filing false medical claims

June 13th, 2018|Comments Off on Woman convicted for filing false medical claims

Lajuana Scott was sentenced to one year in jail and five years on probation following her conviction of three felony counts of embezzlement from a nonprofit or charitable organization. The former clinic biller made Medicaid […]

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Cambria County Plastic Surgeon Pleads Guilty to almost $300K in Medicaid and Insurance Fraud

June 10th, 2018|Comments Off on Cambria County Plastic Surgeon Pleads Guilty to almost $300K in Medicaid and Insurance Fraud

Josh Shapiro, Attorney General, announced that a Johnstown plastic surgeon pleaded guilty today to two felonies. The surgeon bilked private insurers and the Medicaid program out of almost $300,000 by routinely billing Medicaid and private […]