Recovery Audit Contractor Defense: Insourcing vs. Outsourcing
Weighing Your Options
Product Description:
Stacey Levitt, RN, MSN, CPC, and Denise Morris, RHIA, CCS, will set the stage for the pros and cons of handling RAC requests internally or externally. This session addresses staffing requirements; how to ensure a solid understanding of what’s in the medical record; and how to coordinate with physicians when appeal letters must be written using the insourced model. For the outsourced model, the session covers how to make the call to outsource the requests and appeals; and questions to ask when selecting a vendor.
Session Overview:
Our faculty will set the stage for the pros and cons of handling RAC requests internally or externally.
Insourced model
- Staffing requirements
- Ensuring a solid understanding of what’s in the medical record
- Coordinating with physicians when appeal letters must be written
Outsourced model
- How to make the call to outsource the requests and appeals
- Questions to ask when selecting a vendor
Bonus Resources Include:
- RAC coordinator job description
- AHA vendor list
RAC Ready & Compliant
HCPro, Inc. has determined this program meets one or more of the following criteria:- The main topic contains substantive information about a RAC-identified error
- The program will help you in your appeals preparation
- The program will help you operationalize your RAC strategy/process
About the faculty:
STACEY LEVITT, RN, MSN, CPC, is director of patient care management at Lenox Hill Hospital in New York City. She has a solid clinical nursing background in both critical care and public health. Her ongoing administrative experience includes over twenty years in healthcare management settings in New York and Pennsylvania. Her areas of expertise include utilization and denial management, reimbursement analysis, performance improvement, professional staff development, and project management. She is known for her in-depth knowledge of Medicare regulations and her passion for effecting increased efficiency, productivity, mastery of insurance coding rules, and realization of appropriate reimbursement. She is an expert in data management and analysis relating to hospital and physician reimbursement.
DENISE MORRIS, RHIA, CCS, is Senior DRG coordinator at Sarasota Memorial Health Care System in Sarasota, FL and has 23 years of experience in HIM, ranging from coding auditor for the Florida QIO to coding instructor. She is a former HIM director, and was part of a team that created a Physician Electronic Practice Management system.
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