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Webinar/Audio Conference FAQs

If you bill fee-for-service programs, your claims will be subject to review by Recovery Audit Contractors (RACs). RACs use proprietary software programs to identify potential payment errors in such areas as duplicate payments, fiscal intermediaries' mistakes, medical necessity and coding.

RACs also conduct medical record reviews. Errors can happen on both ends. Computer hiccups can cause claim denials and trigger an automated audit review. You owe it to yourself and your practice to do your own background check. Be on the lookout for errors before the RAC's notify you of a concern. Take a proactive stance so that you know what to do if your practice receives and audit letter.

Get Straightforward Answers to These Questions and Many More:

• What is the likelihood that your practice will experience a "RAC attack" this year
• What is the best way to prepare for an audit
• How far back can the RACs review claims
• What to do upon receiving a CMS MMA 935 letter requesting recoupment
• How many records can the RACs request
• What is an automated audit review/request and how to respond

About the Presenters

Maxine has more than 20 years of experience in medical practice management, adult education, and general business. She is the former administrator of a multi-specialty clinic and has taught numerous practice management, accounting and business communications courses at various levels at Midwestern State University in Texas. She has extensive experience as a practice consultant and has taught both administrative and clinical personnel. Maxine holds a MBA in business from Midwestern State University, and is presently working toward a doctorate in Health Care administration. She is also a Certified Public Accountant and a Certified Medical Coder.

Maggie has comprehensive knowledge of medical practice management, coding, billing, claim resolution, and regulatory policies relevant to the practice. She is the primary coder for a busy surgical practice, where she is responsible for accounts receivable/collections, billing, preauthorizations and referrals, as well as implementation, training, and monitoring of practice compliance programs.