Find Your RAC Contractor
Every medical provider that files Medicare claims is going to be audited. Medicare RAC Auditors are coming to your area. Will your practice be ready?
Find the latest news, approved issues and updates for the RAC contractor in your region:
| Region A | Vermont, New Hampshire, Maine, Massachusetts, Rhode Island, Connecticut, New York, New Jersey, Delaware, Maryland, Washington DC, Pennsylvania: Diversified Collection Services, Inc. (DCS) -1-866-201-0580 | Diversified
Collection Services Approved Issues |
| Region B | Minnesota, Wisconsin, Michigan, Ohio, Indiana, Illinois, Kentucky: CGI Technologies and Solutions, Inc. CGI -1-877-316-7222 | CGI
Technologies and Solutions Approved Issues |
| Region C | West Virginia, Virginia, Tennessee, North Carolina, South Carolina, Georgia, Alabama, Mississippi, Florida (FL), Arkansas, Louisiana, Texas, Oklahoma, New Mexico (NM), Colorado: Connolly Consulting Associates, Inc. -1-866-360-2507 | Connolly Approved Issues |
| Region D | California, Washington, Oregon, Idaho, Montana, North Dakota, South Dakota, Wyoming, Utah, Nebraska, Iowa, Kansas, Missouri, Nevada, Arizona, Hawaii, Alaska: HealthDataInsights, Inc.-Part A: 1-866-590-5598, Part B: 1-866-376-2319 | Health
Data Insights Approved Issues |
Medicare RAC Auditors
Medicare does not provide any guidance to the physician or provider of care outside of giving them written guidelines. The RAC contractors are paid on a contingency based fee, so they have incentive to find incorrectly paid claims. Our Base Line Audit will help the provider identify areas of deficiencies and correct those prior to the RAC audit. Our report will allow you time to make any changes in your current practices. Contact us today.
RAC Code Compliance Auditing Service
Under the permanent RAC program, the focus is not limited to hospital claims. Claims from physicians, practitioners, or any other provider of service billing to Medicare Part A or Part B may be included in claims reviewed by the RAC.
Medicare Baseline Documentation and Code Compliance Auditing - We can help you prepare for the RAC Now!
Payment Automation Network, Inc. is offering a detailed, comprehensive base-line audit for physicians, home health agencies, rural hospitals, clinics and durable medical equipment providers.
We will perform a 50 chart random base-line audit and provide a detailed compliance summary on our findings with recommendations to bring your documentation into Medicare compliance immediately.
Our report will allow you time to make any changes in your current practice. And we may find areas in which you are being under paid. If you have been under paid then we may be able collect that amount for you.
We found Under Coding was more likely in the following situations: The visit was longer; The visit involved a lower percentage of time spent planning treatment; The visit resulted in a referral; The patient was a child.
We found Over Coding was more likely in these situations: The visit was shorter; A greater percentage of time was spent planning treatment; A greater percentage of time was spent chatting with the patient; A greater percentage of time was spent on preventive services; Well care was the main reason for the visit; A medical student was present; No referral was made; No drugs were prescribed.
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