AMERICAN HEALTHCARE CONSULTING: Charge Capture Services, CDM

Is Your Hospital Prepared for Nationwide RAC Audits?

With the next series of audits for the RAC (Recovery Audit Contractors) program scheduled to begin nationwide in mid-2008 with full implementation by January 1, 2010, preparation at your facility should begin now to ensure charge capture, coding and billing practices are accurate. American Healthcare Consulting's RAC Readiness Services will prepare your facility for the imminent RAC program investigation. Our consultants will assess high risk departments and practices within your revenue cycle, draft and implement corrective action plans, and educate charge capture personnel to protect your facility from costly takebacks due to noncompliant coding and billing practices.

RACs Identified $371,000,000 of Medicare Improper Payments During FY 2007

Almost 50% of the improper payments identified during the RAC demonstration program were the direct result of incorrect coding. Additionally, the majority of takebacks due to excessively billed units were discovered as the result of the following breakdowns within healthcare facilities: lack of education to charge capture personnel on changes in charging and billing practices; outdated charge tickets; and failure to update chargemasters and pharmacy conversion factor tables following vital CMS changes in time requirements and dosage requirements. RAC Readiness Services will not only identify and correct these problem areas within your organization, but your employees will also receive valuable education and training to ensure your facility faces minimal risk during these government audits and beyond.

Contact Us to learn more about our RAC Readiness Services.