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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Turn The Cessation of Elective Surgeries Into an Opportunity to Educate

May 21st, 2020|Comments Off on Turn The Cessation of Elective Surgeries Into an Opportunity to Educate

Under normal circumstances, the biggest difficulty practices encounter when trying to engage in physician education is timing.  Coordinating everyone’s schedules, pulling providers out of the operative and visiting rooms, and capturing a practice’s attention during [...]

Picking the Right Coding Vendor

May 21st, 2020|Comments Off on Picking the Right Coding Vendor

Picking the right coding vendor can be challenging.  There so many options and they all tell you they offer accurate coding to ensure revenue optimization and compliance risk minimization.  To help you select the right [...]

Offshore Coding: HIPAA Risks

May 21st, 2020|Comments Off on Offshore Coding: HIPAA Risks

From a compliance exposure perspective, we believe that the HIPAA risk associated with sending PHI abroad is simply untenable.  HIPAA is an American law that does not extend beyond our borders.  The only way to [...]

Generalist Coders – A Fallacy

May 21st, 2020|Comments Off on Generalist Coders – A Fallacy

There is no such thing as a coder who knows it all. If your coder claims to be able to code every specialty, and you let them, you might want to get your checkbook ready [...]