RAC audits Archive

RAC Audits of E&M Codes to Begin for 15 States

In September the Center for Medicare and Medicaid Services announced that it will extend Recovery Auditor (RAC) review for Evaluation and Management (E&M) services to 15 states. These 15 states where the expansion is occurring are Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia and West

RAC Audit Checklist

The American Health Information Management Association (AHIMA) has a useful checklist, listed below, for providers facing a RAC audit. MTBC is committed to assist providers during audits by providing useful reports that can be located on our Practice Management site. A:  Create a RAC team Senior leadership Finance/revenue cycle Clinical documentation management Health information management

CMS Audit Program Stats

For those interested in reviewing statistics related to the CMS Recovery Audit Program, please check out this page.  Here you will find numerous updates to different CMS programs including the Auditing Program.  Two things I found particularly interesting on this page include the Recovery Program Audit Summary and the Audit Program Appeals Update. The summary

RAC audits – The Benefit of a Single Source

The Center for Medicare and Medicaid Services (CMS) aggressive stance for Meaningful Use leads to the common conclusion that Electronic Medical Records (EMRs) are the future of maintaining healthcare data. EMR technology has greatly simplified medical billing submission and created robust tracking capabilities that weren’t available in the past. With this easier access to data

The RAC Audits are Coming!

RAC audits are becoming more common as auditors expand their reviews into additional states and specialties.  Many of the audits to date have been focused on hospitals and surgical practices due to the high revenues associated with these providers.  As the audits expand there are several things providers need to be aware of.  One of