Everything You Need to Know About RAC Audits
Friday, June 17, 2022
Noon - 1 pm
Free Zoom Webinar
Although the pandemic paused Recovery Audit Contractor (RAC) audits — they are once again in full swing. Auditors are making up for lost time, so your chances of getting audited are higher than ever before.
What You'll Learn
RAC audits are run by the Centers for Medicare and Medicaid Services (CMS). The goal of the audit is to recover losses from improper Medicaid and Medicare claim payments. RAC auditors have collected back more than $2 billion for CMS. And, considering they are paid on a contingency basis (the more overpayments they find, the higher their pay) you can bet that during an audit they’ll be reviewing your medical records very carefully.
While you can’t avoid every RAC audit trigger, you can be prepared and informed so that when the time comes you can get through your RAC audit and hold on to your hard-earned cash.
- What is a RAC?
- Audit protocols and procedures
- Preparation prior to audit
- Best practices during and after the audit
Stuart Oberman - Founder and President, Oberman Law Firm
Stuart J. Oberman, Esq. is the founder and president of Oberman Law Firm, a full-service law firm located in Greater Atlanta, and specializing in the dental profession. Mr. Oberman has practiced law for over 25 years, representing small start- ups and Fortune 500 clients across the United States. He currently practices law in a wide variety of areas including: corporate law, employment law, healthcare law, OSHA and HIPAA compliance, estate planning, family law, real estate, and intellectual property.
Arlene Baril - Director, Pinnacle Enterprise Risk Consulting Services
Arlene brings more than 35 years of operational, consulting and technical experience to Pinnacle. Specializing in revenue cycle management and HIM operations, she has acquired a unique skillset that encompasses systems analysis and design, staff training and development, and software product development. Her expertise is extensive and includes HIM outsourcing, RAC assessments, charge description master reviews, inpatient MS-DRG, outpatient OPPS coding assessments, third party payor reviews, clinical documentation improvement and physician practice coding.
Prior to Pinnacle, Arlene held several executive positions where she was directly responsible for facility coding, audit and consulting services, CDI services, HIM interim management and PRN projects. In these roles her oversight included regional product-line responsibility for inpatient coding, outpatient coding, charge description master reviews, SMART coding compliance and HIM operations. In addition, Arlene has comanaged the compliance services product line and served on a national SMART development team.