tci Medicare Compliance & Reimbursement - 2011 Issue 15

Medicaid Regulations: 4 Strategies To Stop RACs From Catching You By Surprise

Now's the time to improve your billing and documentation. If recovery audit contractor (RAC) audits don't stay on your radar, you'll likely soon be nursing some pretty hefty overpayments stemming from your Medicaid billing. That's thanks to last year's Patient Protection and Affordable Care Act's requirement that RACs audit Medicaid claims just like they do Medicare claims. Because RACs' income is specifically tied to the amount they recover, and is based on a percentage of the overpayments they identify, you can expect they'll be looking through your claims with a fine-toothed comb.Prepare now: Despite assumptions to the contrary...

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