Medicare Recovery Audit Contractor Program: Guide for Healthcare Providers

This book provides the information healthcare providers need to prepare and successfully defend against inappropriate RAC audit recoveries.

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This book written by medical billing guru and lean accounting expert, Duane Abbey, The Medicare Recovery Audit Contractor Program: A Survival Guide for Healthcare Providers explains all that is required to prepare and successfully defend against inappropriate RAC audit recoveries. Using the same succinct style that always makes his writing so palatable, Abbey illustrates his lessons with simple case studies placed in the context of a fictitious community whose population is served by a hospital, clinics, a nursing facility, and other providers all seeking to maintain compliance and profitability.

In discussing RAC guidelines, this resource —
•Shows how to identify overpayment areas and associated compliance issues
•Details a systematic problem-solving process relative to RAC processes
•Addresses resource requirements including new personnel, such as RAC specialists
•Includes planning models for developing compliance departments
•Provides an extensive glossary to make sense of medical billing’s alphabet soup of acronyms

While the book works well as a stand-alone reference for those seeking advice on RAC audits, readers will also discover that this volume extends the lesson of Abbey’s classic Coding, Billing & Reimbursement , making this book a natural companion for those wanting to fully explore the role of Lean accounting in medical billing.

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medicare, RAC, health care, claims, medicaid, fraud, medical billing, medical coding