Are you ready for RAC? Seminar offered by Cross Country Education

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Are you ready for RAC? Seminar

This Seminar is also available On-Site for groups of 20 or more.

If your company bills Medicare A or B, you are vulnerable to investigation by the Medicare RAC program. Discover strategies for doctors and hospitals to prepare for RAC audits and appeal adverse findings to save money and time.

Course Description/Agenda


While Medicare audits are not new, the new Recovery Audit Contractor, or RAC, program is the most comprehensive review of provider services to date. RAC entities' investigations include hospitals, physicians and suppliers that participate in the Medicare Fee-for-Service program and aggressively review paid services in an effort to identify incorrect reimbursements. Claims that are deemed to be incorrectly paid will be subject to recovery of funds against the provider, with the overall purpose of targeting fraud, abuse and waste in the Medicare program. In short, if the RAC audit is successful against your practice or facility, you could end up paying huge dollar amounts in repayments and dealing with an extremely complicated and difficult RAC appeals process if you try to contest the overpayment determinations.

This course will take you inside the minds of the auditors to tell you what they will look for in your practice. Discover strategies to help your facility prepare for audits, defend against or appeal adverse findings, take proactive compliance steps to minimize recoveries, and respond correctly to a RAC medical record request. Take advantage of this opportunity to learn from one of the country's most experienced, highly-credentialed coding and Medicare experts because you can't afford NOT to be prepared when RAC demand letters arrive.

  • Minimize your exposure to investigation: Avoid the common mistakes that make you a target
  • Discover specific ways to prepare for and respond to RAC records requests and demand letters
  • Identify steps pre- and post-audit to minimize the impact of the RAC program on claims submission and facility cash flow
  • Understand the appeals process and how providers can contest RAC decisions
  • Review the history of the recovery audit program and its intended goals
  • Identify the areas most commonly targeted in RAC investigations and discover effective means of monitoring them
  • Examine the types of review that may be initiated through the Medicare RAC program
  • Describe specific steps to minimize the risk of being targeted for a RAC audit
  • Discuss your legal options for appealing unfavorable findings by the RAC investigators
  • Apply information learned from others' RAC audits and investigations to protect your company

What You'll Learn

 

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Cross Country Education
Cross Country Education Seminars

Course Summary

If your company bills Medicare A or B, you are vulnerable to investigation by the Medicare RAC program. Discover strategies for doctors and hospitals to prepare for RAC audits and appeal adverse findings to save money and time.

Delivery Method

Seminar Seminar

Also Available As

On-Site Training On-Site Training

Who Should Attend

Coding/Billing/Reimbursement Staff and Managers, Office Managers, Patient Access/Collections Staff, Medicare Specialists, Medical Records Professionals , Nurse Practitioners , Physician Assistants , Physicians , Medical Assistants, Hospital/Physician Practice CFOs and Financial Managers, Healthcare Compliance Officers/Professionals, Hospital Administrators , Health Information Managers , Nurse Auditors, Registered Nurses, Attorneys

 
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