In RAC Readiness Reviews conducted by our clinical consulting team, we found 7 out of 10 files had documentation errors. These errors can put you at risk for significant clawbacks by CMS. Internal reviews are one way to look at documentation, but typically when reviewing its own work a facility team may fill in the blanks with what they know about the resident rather than looking at the black and white information in the medical record. Then there is the rigorous appeals process. What do you need to know to succeed? This webinar will provide valuable tips you can implement to minimize your RAC risk and to protect your cash flow as well as success factors for the appeal process.
- Review the history of the federally mandated RAC program from the pilots in 2005 to the present national roll-out
- Identify the three major audit issues found in the pilot project that generated the greatest SNF Medicare overpayments
- Discuss the strategies and tools for the nursing facility to prepare for the RAC audits
Presenter: Jane Belt, MS, RN, RAC-MT, Consulting Manager