Medicare RACs: how should hospitals prepare?
Medicare's Recovery Audit Contractor (RAC) program is being rolled out nationwide in 2009. To successfully manage the RAC appeals process, hospital revenue cycle leaders require accurate and timely tracking of all RAC-related events, deadlines, findings, and costs. These leaders also need to take steps to avoid Medicare overpayments, including establishing mechanisms at the point of billing to prevent inappropriate claim submissions to Medicare.
Braccili
Rudy
R
National Medicare & Medicaid Center, Conifer Revenue Cycle Solutions, Dallas, USA. rudy.braccili@coniferhealth.com
D004469:Economics, Hospital; D006801:Humans; D007345:Insurance Claim Review / Q000458:organization & administration*; D006278:Medicare / Q000191:economics; D020416:Outsourced Services; D010934:Planning Techniques; D014481:United States