Prepare for the recovery audit contractors now for audit success later
Briefings on Outpatient Rehab: Reimbursement and Regulations, July 1, 2009
This is an excerpt from a member only article. To read the article in its entirety, please login.
The congressionally mandated RAC program, which was implemented to identify and correct past improper Medicare payments, is not new. Initially, it began as a three-year demonstration in California, Florida, and New York in 2005, before expanding to Massachusetts, South Carolina, and Arizona in 2007.
The RAC demonstration ended in March 2008 and, according to a report released by CMS in June 2008, The Medicare Recovery Audit Program: An Evaluation of the Three-Year Demonstration, a total of $980 million in overpayments to providers was corrected.
The amount of overpayments providers were required to return to the Medicare Trust Fund incited panic among the healthcare industry. However, therapists who learn from the mistakes of others and enact prevention techniques, such as internal reviews, correct coding training, and staff education, will be better prepared for the expanding RAC program.
This is an excerpt from a member only article. To read the article in its entirety, please login.
Related Products
-
The How-To Manual for Rehab Documentation, Third Edition
Since our last edition, there have been significant changes to the rules and regulations surrounding documentation in...
-
Master Outpatient Therapy Evaluations
This 90-minute program provides guidance to help therapists improve their chances of Medicare approval through effective...
-
The How-to Guide to Home Health Therapy Documentation
Improve therapy documentation immediately with this one-of-a-kind book. This practical resource is the only product on the...
-
Value Based Purchasing
During this 90-minute audio conference, our speakers examine the VBP final rule, outline its parameters, review the...
-
Nursing and Therapy Documentation in Long-Term Care:
Synchronize resident documentation across multiple disciplines to improve quality of care as well as protect your...
Most Popular
- Articles
-
- HIPAA Q&A: Flu shot requirement for hospital employees
- HealthDataInsights posts new issues for medical necessity claims
- Running an effective peer review committee meeting
- Q&A: Incidental disclosures and patient privacy
- New FAQ posted on storing laryngoscope blades
- Sneak Peek: Effort underway to establish caseload benchmarks
- Tip: Perform your own internal investigation prior to government audit
- What does case-mix index mean to you?
- HIPAA 5010 deadline extended, but threat remains, says AMA
- HHS task force: Consider privacy, security with text messages
- E-mailed
-
- Running an effective peer review committee meeting
- HIPAA Q&A: Flu shot requirement for hospital employees
- What does case-mix index mean to you?
- HHS task force: Consider privacy, security with text messages
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Tip: Correctly code bilateral pain management procedures
- 2012 CPT code changes for ASCs: Shoulder and knee scopes and pain management
- COT basics to best
- Documentation and coding for toxic metabolic encephalopathy
- Guidance and tact key to compliant, effective physician queries
- Searched