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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healthcare facilities: lack of education to charge capture personnel on changes in charging and billing practices; outdated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.
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OUR SOLUTIONS - RAC Readiness Services
- Claims Auditing
- Comprehensive Chargemaster Review
- Charging
System Interface Auditing
- Pharmacy Conversion Factor Table Review
- Chargemaster Structure & Process
Flow Analysis
- Claim Denial Trending & CAP
- 100% Charge Capture & Charge Reconciliation
Policy
& Procedure Development - Chargemaster Interim Management
- Chargemaster Management Mentoring Program
- Pricing
Reviews
- Charge Capture Education for Revenue Cycle Charging Department Personnel (Department Specific)
- Train-the-trainer
sessions
Learn more about Our Solutions.
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Reduce rejected claims, delayed reimbursement, and lost revenue with a current, accurate and fully compliant CDM.
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