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Healthc Financ Manage ; 64(9): 90-2, 94, 2010 Sep.
Article in English | MEDLINE | ID: mdl-20831001

ABSTRACT

Healthcare providers should look both outside and inside their organizations to prepare for Recovery Audit Contractor (RAC) program challenges. Organizations should have the right team in place to focus on their RAC audit response. Preparation for RAC audits should include mining data to identify potential risk, automating claim filing, educating staff and physicians, and communicating to key stakeholders.


Subject(s)
Financial Audit , Financial Management, Hospital/organization & administration , Insurance Claim Review/organization & administration , Centers for Medicare and Medicaid Services, U.S. , Medicaid , Medicare , Organizational Case Studies , Reimbursement Mechanisms/organization & administration , United States
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