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:

Company Owner Goes to Jail for Medicaid Fraud

November 6th, 2019|Comments Off on Company Owner Goes to Jail for Medicaid Fraud

The owner of a transport company has pleaded guilty to fraudulently charging the good citizens of Massachusetts millions in false claims through the state’s Health Care Program known as MassHealth. The 59 year old Michael [...]

Anesthesia Place in Traverse City Will Now Pay $600K For Falsifying Claims to Medicare

October 15th, 2019|Comments Off on Anesthesia Place in Traverse City Will Now Pay $600K For Falsifying Claims to Medicare

According to the United States DOJ, Traverse Anesthesia Associates, along with several anesthesiologists are paying over $600K to resolve allegations that they consciously incorrectly submitted certain anesthesia claims to Medicare. Investigators mentioned that TAA and [...]

Doctor’s Practice to Pay Nearly $180K to Resolve False Claims Act Liability Regarding “P-Stim” Devices

September 24th, 2019|Comments Off on Doctor’s Practice to Pay Nearly $180K to Resolve False Claims Act Liability Regarding “P-Stim” Devices

First Assistant U.S. Lawyer Jennifer Arbittier Williams proclaimed that Richard P. Frey, D.O., and Physicians Alliance Ltd. (“PAL”) have agreed to pay nearly $180,000 to resolve liability underneath the False Claims Act for the alleged [...]