Q&A: Academic medical center RAC vulnerabilities
Recovery Auditor Report, September 16, 2010
Want to receive articles like this one in your inbox? Subscribe to Recovery Auditor Report!
Question:Are academic programs that practice more evidence-based medicine at a lower risk of audit versus community-based hospitals? Is there a difference because the hospital is in an academic setting?
Answer: (Via Michael Taylor, MD, vice president of clinical operations at Executive Health Resources in Newton Square, PA)
From my experience, unfortunately university and academic centers are not protected and one reason to keep in mind is that these are big targets. Universities are performing some of the highest-dollar, cutting edge procedures; and clearly at some of these facilities they’re performing the highest-dollar procedures with a relatively shorter stay than their peers. It stands to reason, and we’ve seen in many cases that universities and academic centers — with a slightly different patient mix — may show up differently on statistical analysis. When those centers are providing care that differs from their peers, they can be targeted for audit.
Want to receive articles like this one in your inbox? Subscribe to Recovery Auditor Report!
Related Products
-
2010 RAC Track: Medicare Compliance Forum Audio Recording
On-demand audio recordings of the RAC track of HCPro Revenue Cycle Institute's popular Medicare Compliance Forum, held May...
-
Medicare Compliance Forum: Orlando, FL
Attend the 2012 Medicare Compliance Forum to reduce your organization’s risk and exposure from government auditors...
-
Outpatient, Observation, or Inpatient?
Attend the half-day seminar, Outpatient, Observation or Inpatient? Walking the Tightrope of Regulatory Guidance, September...
-
OPPS and IPPS Reimbursement Fundamentals
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on September 30 in Orlando. You'll learn to understand...
-
2010 Observation Services Track:
On-demand audio recordings of the Observation Services track of HCPro Revenue Cycle Institute's popular Medicare Compliance...
Most Popular
- Articles
-
- HIPAA Q&A: Answering service messages
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q&A: Coding for dry skin due to cold weather
- Q/A: Volume requirement for reporting hydration services
- Are your workforce members texting PHI?
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- Privacy, security concerns high in HIEs
- Catch up on what's new with injections and infusions
- E-mailed
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- HIPAA Q&A: Answering service messages
- Q&A: Coding for sepsis when other conditions are present
- HIPAA Q&A: TPO disclosures to a business associate
- Are your workforce members texting PHI?
- Q&A: Coding for dry skin due to cold weather
- What does case-mix index mean to you?
- Don't let these sentinel events trigger falsely
- Searched