The HIM Director's Guide to RAC
Product Description:
CMS' ongoing and expanding efforts to recover Medicare overpayments have already resulted in the recovery of hundreds of millions of dollars—and that was from only a handful of states.
The recovery audit contractor (RAC) program goes nationwide in 2010 and will present a very significant challenge for hospitals and the need for HIM directors to respond quickly if Medicare notifies them of suspected overpayments. You'll have limited time to respond to the demand letter and to provide the medical records necessary to appeal any denials.
This handbook, by noted expert Jean S. Clark, RHIA, is a guide to the HIM director's role as a member of a successful internal RAC team. She covers:
- Department roles and the RAC team
- Internal management of a RAC request
- Management of appeals
The potential losses due to this initiative can be devastating. With thoughtful preparation, strong internal processes, and an educated and ready team in place, you can improve your hospital's chances of successfully appealing denials. The HIM Director's Guide to Recovery Audit Contractors is your first line of defense.
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