Nationwide Solutions RAC Baseline Audits
Medicare RAC Auditors are coming. Are you ready? The Recovery Act Contractor (RAC) is a program designed to detect and correct improper past payments made on claims of healthcare services provided to Medicare beneficiaries.
Since the start of the program in 2003, more than $1 Billion of improper Medicare payments have been identified. 96% of these payments were overpayments which medical practices are liable to return to Medicare. Only 4% of improper payments represented underpayment by Medicare to practices.
Prepare for the RAC Audit
- Overpayments: Nationwide Solutions offers a 50-chart random baseline audit per physician. We provide a detailed compliance summary with recommendations to bring your documentation into full Medicare compliance.
- Underpayments: We will also identify areas of underpayments so you can use proper coding to increase your reimbursements. Many practices are under-billing in some areas due to lack of coding expertise.
Nationwide Solutions RAC Baseline Audit
- Performed by Certified Coding Auditors
- Evaluation and Management (E&M) by speciality
- Expertise in compliance rules for all levels of service
- Review of correct diagnosis coding
- Performed by an auditor with coding expertise in your specialty
- Determination of medical necessity
Common problems uncovered in a baseline audit
- Incorrect payments based on lack of proper documentation of the chart note
- Non-covered services including those not considered reasonable and necessary
- Incorrectly coded services
- Duplicate services
Nationwide Solutions RAC Baseline Audit will help you prepare for the Medicare RAC Auditors. Contact us and speak with an expert about steps you can begin taking today to chart your course to full compliance. A Practice Analysis will show you how smart billing solutions and practice management will enable you to prosper in a demanding regulatory environment.
