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M-Scribe Medical Billing Services

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We have worked with M-Scribe Technologies for over seven years and have found them to be extremely responsive, accurate, and supportive. We would highly recommend them for transcribing medical dictation.

- New York Business Associate

 

 

Understanding the RAC Audit Process To Protect Your Practice

If you are a Medicare and/or Medicaid provider, your practice will become a “red flag” for a RAC audit. Unfortunately, these are not one-time events. Once your practice has been audited, it will continue on an ongoing basis. As auditors increase their resources, the RAC audit process (along with other audit programs) will become permanent and progressively intense.

Triggers

Physician coding error rates average 62%. In addition to being a Medicare/Medicaid provider, many reimbursement audits are triggered by coding, billing and utilization anomalies. Physician coding error rates alone average 62%. You must change and improve the behaviors, coding and billing patterns, and skill sets of staff and providers, and become a precise, fully compliant documenting, coding and billing team.

When audits do occur, you can attempt to defend yourself, however, your staff may not understand the best way to shield you and your practice. Many practices turn to their lawyers, but this method can be extremely expensive. Not only will an audit often entail substantial legal fees, but also large consulting fees for shadow audits and external professional advice will need to be obtained during the process. Since RAC/MIC/MAC audits are conducted on an ongoing basis, retaining an attorney specifically for audit defense appears to be an unrealistic option.

Your best defense is to become a part of M-Scribe's Audit Program.

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