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Keys to understanding and minimizing radiology-specific risks
Medicare Recovery Audit Contractors (RACs) are stepping up their reviews of claims for radiology services. There's no doubt about that. The question is, what is your facility doing to prepare? No organization can afford to give back revenue, which is why you need to understand what your radiology-specific RAC risks are and the preventive steps you should be taking right now. This MedLearn webcast seminar will look at RAC fundamentals - entirely from a radiology perspective - equipping you to move forward with your own risk-avoidance strategy. Remember, it's not just about RAC…it's also about achieving the highest standards for coding, medical necessity and documentation. Highlights:
- RAC program snapshot - how it came to be, identifying the contractors and their assigned territories, types of RAC reviews and how they work
- What we learned from the RAC demonstration project pertaining to medical necessity, miscoding, lack of documentation and other errors
- Radiology-specific risk areas, based on comprehensive error rate testing (CERT) reports, Office of the Inspector General (OIG) work plan and other indicators
- Risk-avoidance tactics, including internal audits, sampling methodologies, corrective actions and continuous monitoring
- Preparing for a RAC audit, from initial contact and review through collection and appeal
- Case examples to illustrate the potential impact of noncompliant practices on radiology departments and practices
- Official information sources and links to help achieve RAC-readiness
About our presenter
This webcast seminar is presented by MedLearn senior consultants Donna Richmond, BA, RCC, CPC, and Carol Spencer, BA, RHIA, CCS, CHDA. Ms. Richmond has more than 20 years of coding, billing and compliance experience, with a primary emphasis on radiology services. She is current chairperson of the RBMA Coding Education Task Force and a past RCCB board member. Author, speaker and teacher, Ms. Spencer possesses 25-plus years of experience in health information management. She attended the 2009 National RAC Summit and passed the seminar certification.
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