Revenue Cycle

RAC talk: A few minutes with Elizabeth Lamkin

Recovery Auditor Report, December 2, 2010

Name: Elizabeth Lamkin

Title: President

Company: Dalzell Consulting Group, Inc. Hilton Head, SC

Quick-hit RAC background: Elizabeth has 20 years of executive experience including the position of CEO of multi-hospital systems. Most recently she served as president of Hilton Head Regional Healthcare where she was part of the South Carolina RAC demonstration project. Elizabeth successfully navigated the RAC process and implemented a system to ensure appropriate billing compliance and win RAC appeals. Elizabeth is currently president of Dalzell Consulting Group, Inc. specializing in systems improvement to improve margins.

What are some (or just one) of the most common errors you’ve seen hospitals make when it comes to the RAC process? The most common error I have seen hospitals make is poor documentation of medical necessity and continued stay. The by-product of poor or no documentation is inaccurate coding and the inability to appeal RAC findings. Another error hospitals often make is having an out-of-date chargemaster. This can lead to patterns of incorrect billing for such things as dose vs. unit billed. Physicians are also at risk in this area.

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