MACs vs. RACs: could competition mean more bad news for providers?
Patient Access Weekly Advisor, September 9, 2009
What's the difference between a MAC and a RAC?
When it comes to protecting Medicare dollars, they share the responsibility of ensuring healthcare providers are paid correctly for services provided, and both conduct audits to help ensure as much.
But once a MAC audits a service, a RAC cannot. And vice versa. So, does that mean there might be a little friendly competition between them?
Read the full story by Andrea Kraynak of HealthLeaders Media.
Related Products
-
Medicare Audits in Long-Term Care: A Guide to MACs, RACs, and ZPICs
This book describes the different types of Medicare audits that nursing homes face and helps you take a proactive approach...
-
Facility vs. professional coding challenges
During this 90-minute audio conference, Kimberly Anderwood Hoy, JD, CPC, and Peggy Blue, MPH, CPC, CCS-P, will explain how...
-
The 2013 Medicare Compliance Forum: Las Vegas, NV
-
Medical Necessity 2013: Reduce Risk and Overturn Denials
Facing a lengthy appeals process justifying medical necessity? Our experts show you how to avoid pitfalls and alleviate...
-
Level of Care Determinations for 2014: Las Vegas, NV
Attend the half-day seminar, Outpatient, Observation or Inpatient? Continuing to Walk the Tightrope of Regulatory Guidance...
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Practice the six rights of medication administration
- Note similarities and differences between HCPCS, CPT® codes
- OB services: Coding inside and outside of the package
- Differentiate between types of wound debridement
- Q&A: Primary, principal, and secondary diagnoses
- Code diagnoses and outpatient treatment for PTSD
- What to include on the incident report
- ICD-10-CM coma, stroke codes require more specific documentation
- Know guidelines and subtle differences in code descriptions for laceration repairs
- E-mailed
-
- Stop emergency department violence against nurses, physicians
- Q&A: Resection or excision in ICD-10
- Inpatient-only procedures: Accuracy helps avoid denials, ensure compliance
- Can we charge for insertion of a PICC line when a certified nurse performs it?
- Joint Commission deletes more than 130 requirements, including medical record requirements
- Joint Commission and CMS Alignment: Restraint Management
- IV pushes that last more than 15 minutes
- How to get reimbursed for restorative nursing
- HIPAA Q&A: You've got questions. We've got answers!
- Distinguish between diagnostic and screening colonoscopies
- Searched
