Revenue Cycle

Talking RACs with Kimberly Anderwood Hoy

Recovery Auditor Report, October 28, 2010

What was one of most common front-end problems hospitals may have had that led to RAC audits and/or recoupments?

I’m not sure that there’s anything specific. I think that if there’s a strong compliance plan that is looking out for errors, a facility should and can be in good standing. In other words, the best defense is a strong compliance plan.

Was there any one particular CMS-approved issue that may have given providers the most trouble this past year, and why?

If you went by the last year, there hasn’t been one particular issue, but rather a number of issues across the board. What’s been giving providers the most trouble are the operational difficulties the RACs have been having with everything from records receipt to timing of denial notices and recoupments.

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