RAC Audit Defense
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:
Indiana system to pay $2.9M to settle Medicaid overbilling allegations
https://www.beckershospitalreview.com/legal-regulatory-issues/indiana-system-to-pay-2-9m-to-settle-medicaid-overbilling-allegations.html Fort Wayne, Ind.-based Parkview Health System has agreed to pay $2.9 million to settle allegations it overbilled Medicaid between January 2017 and March 2021. Improper revenue codes were submitted to Medicaid for certain blood-clotting tests performed [...]
DOJ alleges Kaiser Permanente defrauded Medicare of $1 billion
Kaiser Permanente and members of its healthcare consortium defrauded Medicare of nearly $1 billion by tacking on diagnoses to patients’ medical records to earn more in reimbursement payments, the Department of Justice claims in a [...]
CMS Selects Primary Care Payment Model Participants
CMS selects primary care payment model participants According to Becker's Hospital Review, "CMS chose 916 primary care practices and 37 regional health plan partners as participants in its new payment model called Primary Care First. [...]
OIG Tags Arizona Hospital for Erroneous Billing
OIG Tags Arizona Hospital for Erroneous Billing Flagstaff (Ariz.) Medical Center failed to comply with Medicare billing requirements for three of 100 inpatient and outpatient claims reviewed by HHS' Office of Inspector General, according to [...]