The RAC Toolkit for Physician Practices : Protecting Your Bottom Line Under Medicare's Recovery Audit Contractor Program

Format:

Book

Author/Creator:

Lamkin, Elizabeth E., author.

Berglund, Amanda W., author.

Language:

English

Subjects (All):

Medical audit.

Medicare.

Physical Description:

1 online resource (124 p.) ill

Other Title:

RAC Toolkit for Physician Practices

Place of Publication:

HCPro, Inc.

Summary:

The RAC Toolkit for Physician PracticesProtecting Your Bottom Line Under Medicares Recovery Audit Contractor ProgramElizabeth E. Lamkin, MHARACs are auditing practices. Learn how to prepare.The RAC Toolkit for Physician Practices is your practices answer to turning plans into proactive action for success during Recovery Audit reviews.Authors Elizabeth Lamkin, MHA, and Amanda Berglund, MS, MBA, describe how to establish and sustain an effective RAC-preparedness structure that can be adapted to fit any organizations system. They provide best practices for successful processes and outline each staff members role in your RAC audit program.Physician practice settings are getting audited by RACs. Whether you are responding to a Recovery Auditor or another government auditor, your program must operate as effectively as possible. You will use their tested, proven, and practical tools that will help you build a more effective billing compliance program. Youll learn how to bring finance, business office and clinical staff together for operational improvements that directly affect your bottom line.The RAC Toolkit for Physician Practices help you achieve the following goals:Take a systemic approach to RAC complianceIncorporate effective structure and processes to existing systems for measurable resultsOrganize committees and facilitate information flowAppeal effectively and within deadlinesUse proven tools and methods for an effective RAC programTable of ContentsAbout the AuthorsIntroductionChapter 1: RAC OverviewChapter 2: Preparing for RACChapter 3: The Right Structure--Organizing the Right CommitteesChapter 4: Critical RAC Roles: Stakeholders and Roles for Prevention of Billing ErrorsChapter 5: Automated ReviewsChapter 6: Complex and Semi-Automated Reviews and ExtrapolationChapter 7: The AppealList of AcronymsAmong the tools you can download are:RAC appeal timelineRAC preparedness checklistRAC committee structure flowchartOrganizational chart for RAC-related personnelSample RAC committee meeting agendaComplex case review worksheetAutomated review timelineComplex review timelineCMS form 20027CMS form 20034CMS form DAB101CMS form 20033Who should read The RAC Toolkit for Physician Practices?Coding supervisors, billing supervisors, practice administrators, practice managers, office managers, RAC coordinators, administrator coding/compliance auditors, compliance officers, compliance coordinators, coding supervisors, and coding specialists.

Notes:

Part of the metadata in this record was created by AI.

ISBN:

1-61569-138-3