PDF version: 481 KB
A comprehensive report that offers guidelines on areas ripe for review and strategies on how to effectively appeal recovery audit contractor (RAC) payment denials. Learn about current RAC targets and those likely in the future, and strategies hospitals can use to steer clear of payment pitfalls.
As CMS funding for the Recovery Audit Contractor (RAC) program increases – a sign that RACs likely will recoup more money from providers – you need details about current RAC targets and those likely in the future, as well as strategies on how to respond.
RACs: Proven Tips and Tactics to Reduce Your Audit Risks and Appeal Payment Denials is filled with tactics that have been used with success to reverse unfavorable outcomes and to prevent future risk exposure, especially on key targets like medical necessity, the post-acute care transfer (PACT) rule, place-of-service errors and more.
You’ll also learn about strategies hospitals can use to steer clear of payment pitfalls, from drilling down into billing data from CMS’s Program to Evaluate Payment Patterns Electronic Report (PEPPER) to improving physician documentation and conducting self-audits.
Get the guidance you need on evaluating key areas before the RACs do. Order RACs: Proven Tips and Tactics to Reduce Your Audit Risks and Appeal Payment Denials today!
CMS Initiatives and Guidance
High-Risk and Target Areas
Facing RACs: Strategies for Success
Denials and Appeals
This book was written by the editorial staff of AIS.
Compliance officers; attorneys; and financial and operations executives at
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