Medicare RAC audits

The RAC(s) – Recovery Audit Contract will pursue the identification of Medicare claims which contain non – MSP improper payments for which payment was made or should have been made under part A or B of title XVIII of the Social Security Act.

Medical claims audits embody significant risk to revenues and profit margins for any healthcare provider. These audits typically include very complex appeals processes with stiff penalties such as the automatic recoupment of funds if appeals deadlines are not met.

Anyone who files claims with Medicare will be audited, to start no later than January 2010. This includes physicians, hospitals, home health agencies and Durable Medical Equipment providers.

Noblecare can help you to prepare for RAC Audit.

Our process is easy and turnaround time is quick. We will provide you with a base line audit of your billing and coding. Our audits are performed by certified coders who have extensive experience doing government audits. After receiving the information we need from you, a report will be delivered and suggestions would be made as to areas for improvement.

Noblecare also does pre-Medicare audits for all his clients and to make sure the coding supports 1997 Medicare coding and documentation guidance.