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Books > Business & Economics > Economics
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The Medicare Recovery Audit Contractor Program - A Survival Guide for Healthcare Providers (Hardcover)
Loot Price: R5,239
Discovery Miles 52 390
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The Medicare Recovery Audit Contractor Program - A Survival Guide for Healthcare Providers (Hardcover)
Expected to ship within 12 - 17 working days
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Medicare fraud is big business, but while only a few profit from
intentional malfeasance, the Centers for Medicare and Medicaid
Services is now taking a closer look at everyone. The Medicare
Recovery Audit Contractor Program, already infamously known as the
RAC, swings into full operation in 2010 and every healthcare
provider that receives payment under any of the Medicare
fee-for-service payment systems will be subject to RAC scrutiny.
And scrutinize, they will . Instead of developing another
bureaucracy, the government has turned the job of auditing over to
outside firms whose payment will be based exclusively on finder
fees for recouping improper payments. There will be little
tolerance for poor record keeping or gray areas of coding. 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
accessible, 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
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