Reimbursement:
Take 6 Steps To Protect Against RAC Audits
Published on Fri Feb 17, 2012
Consider serious therapy changes. If you haven't received an audit request from your Recovery Audit Contractor yet, you could be next on the list. And a host of other government contractors are breathing down your neck too. Take these steps to protect against RAC and other auditors' review, suggests clinical consultant Pam Warmack with Clinic Connections in Ru-ston, La.: 1. Watch and learn. "I love the saying, 'A smart man learns from his mistakes, but a wise man learns from the mistakes of others," Warmack tells Eli. "Every provider out there should be listening closely to discover what care is being denied and to what degree." 2. Make necessary changes. Look at the risk areas highlighted by RAC and other auditors' denials, then work to limit your exposure in those areas. "Every provider should be preparing a quality program designed to minimize their risk if faced with review," Warmack advises. [...]