Your medical practice may have proper accurate coding and appropriate billing, notwithstanding the new ICD-10 codes. However, are you ready for the Recovery Audit Contractors notice?
RAC takes advantage of proprietary software programs to detect payment errors in fiscal intermediaries, medical necessity, and duplicate payments, among others. You are subject to an audit if you fall under the following entities:
- Nursing home
- Hospital
- Durable medical equipment supplier
- Physician
- Home health agency
- Submit claims to a government program or Medicare
It will require you to ascertain that no improper payment occurs. We help you navigate and overcome the challenges that come with it in the following ways.
Risk Improvement Program
We begin by establishing a team for readiness and response. The team creates the program’s goals, structure, and processes. As soon as the team is ready, we then assess the organization’s risks and educate those affected on what to do. We also conduct management and clinical staff reviews and offer quality assurance services.
Response Services
We train response team members and develop policies for future appeals. The primary duty of this service is to track appeals and findings.
Appeals Assistance
We help you with analyzing appeals, setting up an effective program, and monitoring your overall success rate.
Why Choose Us?
Eggleston & Eggleston’s RAC Assistance Services offers you the help you need in billing, coding, medical documentation, and any other area related to reimbursement. We investigate how well your billing codes align with documentation in your medical records. Our firm can offer you the help needed to initiate a RAC program and plan for the future.