Medicare RAC audits

Medicare RAC audits

The RAC(s) Recovery Audit Contract will pursue the identification of Medicare claims which contain non MSP improper payments for which payment was made or should have been made under part A or B of title XVIII of the Social Security Act.

Medical claims audits embody significant risk to revenues and profit margins for any healthcare provider. These audits typically include very complex appeals processes with stiff penalties such as automatic recoupment of funds if appeals deadlines are not met.

Anyone who files claims with Medicare will be audited, to start no later than January 2010. This includes physicians, hospitals, home health agencies and Durable Medical Equipment providers.

Maven can help you to be prepared for RAC Audit.

Our process is easy and the turnaround time is quick. We will provide you with a baseline audit of your billing and coding. Our audits are performed by certified coders who have extensive experience doing government audits. After receiving the information required from you, a report will be generated and delivered to you along with suggestions to indicate areas for improvement.

Maven also does Pre-Medicare Audits for all his clients to make sure the coding is in accordance with 1997 Medicare Coding and Documentation Guidelines.