RAC (Recovery Audit Contractors): an inside out view, extracted exclusively from the RAC Statement of Work. Congress passed legislation to allow Medicare to contract with RAC auditors to find improper payments. Besides finding improper payments, their goal is to improve claims processing and provider education to prevent improper claims initially. What does this mean for you and your facility? After taking this course, you will have a complete knowledge of the RACs Statement of Work.
COURSE OUTCOMES -- Upon completion of this course, you will be able to:
- Discuss the CMS Regulations that govern the Recovery Audit Contractors.
- Describe a reasonable and necessary service.
- Know the difference between automated and complex reviews.
- Identify and set up processes for managing RAC medical record requests.
- Explain the RACs settlement and pay back processes.
Course Length: 35 minutesCost: $50.00
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