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6 Critical Tips to Avoid RAC Audits

Patrick Dougherty

Many providers are aware that CMS has increased its Recovery Audit Contractor or RAC audits and commercial payers are also taking a closer look at billing and coding usage. Data analytics usage has enabled payers to identify coding and other “outliers” and in turn, track for audits. With a stated goal of recovering over $2 billion in “improper payments” it’s more critical than ever for practices to be in compliance. While having a good tax preparer on your team can also reduce accounting errors and other red flags, many practices commit documentation and management mistakes that can lead straight to the auditor’s office.

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Topics: RAC Audit, Medical Billing Audits

Tips for Conducting Thorough Medical Billing Audits

Harold Gibson

Both internal and external audits are critical to maintaining the fidelity and compliance of your medical billing processes. However, they need to be conducted thoroughly if they are to be of any value. Medical billing audits ensure that issues are caught ahead of time -- so that there aren't any surprises. Medical billing audits also catch issues such as fraud early on, before they can become a serious issue. 

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Topics: Medical Billing Audits

About this blog

A place for physicians and other healthcare stakeholders to share and discover information about everything related to running efficient medical practices.

Established in 2002 by a group of physicians, we are a national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, payer contract reviews, and medical coding for a wide range of clients - from solo practitioners to multi-site, multi-specialty practices.

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