The Provider's #1 Resource - Medicare RAC Audits & RAC Appeals
Medicare RAC Appeals & Legal Services / Medicare Compliance & Clinical Reviews / Medicare Fraud & Abuse
Contact Us For Immediate Assistance - (303) 586-5003 or support@racaudits.com
2010 CMS Audit Tools
CMS Program Integrity - 2010 Medicare Audits & Medicare Appeals Tools
The CMS PI Warehouse, Medicare Audits & Medicare Appeals Guide and CMS self-audit tools are all currently available - with no upfront payment required!
Jackson Davis leads the nation in providing real resources and solutions for enhanced CMS Program Integrity. From the nation's most comprehensive CMS documentation resources to industry-leading auditing and legal support - nothing speaks louder than CMS Payment Criteria!!!
CMS PI Warehouse - The nation's only Medicare Audits & Medicare Appeals web-based technology solution.
Avoiding potential Medicare fraud allegations and achieving 100% CMS compliance can only be accomplished with the adoption of comprehensive, accurate & timely CMS Payment Criteria.
10,000+ CMS and CMS contractor documents, CMS self-audit tools, CMS continuing education programs, UB-04 / HCFA-1500 (837 EDI claim formats) data mining, identification & assessment of CMS audit key risk indicators, CMS compliant documentation templates, unlimited user workflows, on-line internal auditing & CMS audit appeals processing, the nation's best security and simply amazing management reporting capabilities.
.... all maintained, modified & updated by our industry-leading CMS compliance and legal services support staff - every single day.
Contact us today at (303) 586-5003 for your confidential demonstration of the nation's only real web-based CMS compliance solution.
____________________________________________________________________________
Now Available - The 2010 Medicare Audits & Medicare Appeals Guide - $495
Purchase the electronic version of the Guide today on flash drive for only $495. The 2010 Medicare Audits & Medicare Appeals Guide is highlighted, sorted and organized by primary RAC focus area. With over 8,000 CMS resource documents, the Guide includes the nation's most comprehensive resource of Medicare RAC audit & RAC appeals tools, policies, procedures, presentations, legislation & regulations.Avoiding potential Medicare fraud allegations and achieving 100% CMS compliance can only be accomplished with the adoption of comprehensive, accurate & timely CMS Payment Criteria.
10,000+ CMS and CMS contractor documents, CMS self-audit tools, CMS continuing education programs, UB-04 / HCFA-1500 (837 EDI claim formats) data mining, identification & assessment of CMS audit key risk indicators, CMS compliant documentation templates, unlimited user workflows, on-line internal auditing & CMS audit appeals processing, the nation's best security and simply amazing management reporting capabilities.
.... all maintained, modified & updated by our industry-leading CMS compliance and legal services support staff - every single day.
Contact us today at (303) 586-5003 for your confidential demonstration of the nation's only real web-based CMS compliance solution.
____________________________________________________________________________
Now Available - The 2010 Medicare Audits & Medicare Appeals Guide - $495
The Guide is also an invaluable resource for hospitals, physicians, inpatient rehabilition facilities, physical therapists or DME suppliers facing CMS audits & CMS appeals - Medicare PSC audits, Medicare ZPIC audits & Medicaid Integrity Contractor audits (MIC audits). There simply is no better resource to understanding and receiving insight to current CMS efforts to stop Medicare fraud & abuse!
Sample 2010 Medicare Audits & Medicare Appeals Focus Areas
Extensive O.R. Procedures Unrelated to PDX
One-Day Stays - Chest Pain & GI Diagnoses
Respiratory Care Diagnoses with Ventilator MS-DRGs
Excisional Debridement Impacted MS-DRGs
PCI / Implantable Cardioverter Defibrillators (ICDs)
Inpatient Rehabilitation Facility Admissions
SNF Admissions & 3-Day Acute Stay Medical Necessity
Emergency Room Visits and Modifier 25
Sample 2010 Medicare Audits & Medicare Appeals Guide Documents
CRMG RAC Audits & RAC Appeals Continuing Education Programs
CMS - Recovery Audit Contractor (RAC) Transmittals
CMS - Medicare Benefit Policy Manual
CMS - Medicare Claims Processing Manual
CMS - National Coverage Determinations
CMS - Local Coverage Determinations
CMS - Widespread, Targeted & Statewide Probes
CMS - UB-04 Billing Manuals
CMS - Charge Compression & Rate Structure Transmittals
CMS - RAC Focus Area Audit Tools & Methodologies
CMS - Medicare Cost Report (audit tools, policies procedures & presentations)
CMS - RAC Appeals Process
QIO - Medical Review (audit tools, policies & procedures)
QIO - Sample RAC Focus Area Clinical Documentation
Our experienced Medicare compliance professionals, CMS clinical auditors and legal staff unconditionally guarantees that the 2010 Medicare Audits & Medicare Appeals Guide is the nation's best RAC audits & RAC appeals resource. There simply is no better documented resource for assessing critical RAC areas, evaluating & implementing CMS payment criteria, addressing potential Medicare fraud or abuse and preparing cost-effective, timely, comprehensive & defensible CMS appeals.
Purchase of the Guide does not include the 2010 Medicare Audits & Medicare Appeals Self-Audit Tools discussed in the following section. Self-audit tools may be purchased separately.
No upfront payment required. To speak with one of our Medicare consultants, clinical auditors or Medicare lawyers - or for any questions regarding current CMS efforts to stop Medicare fraud & abuse, CMS audits or CMS appeals - place your order with us at compliance@racaudits.com.
We will overnight the 2010 Medicare Audits & Medicare Appeals Guide to you the next business day and shipping is FREE!
____________________________________________________________________________
Now Available - The Nation's Leading CMS Self-Audit Templates
Our Medicare compliance professionals and clinical auditors have made available CMS audits & CMS appeals templates that are perfect for use by internal auditors and compliance professionals when reviewing RAC audit cases and considering the filing RAC appeals. These detailed, self-audit templates are now available for purchase by healthcare providers nationwide.
Jackson Davis HealthCare (formerly the Castle Rock Medical Group), one of the nation's leaders in RAC Audits & RAC Appeals case review & legal services, has invested thousands of hours in the documentation of CMS Payment Criteria & the development of RAC self-audit templates. These CMS self-audit templates are backed by over 8,000 CMS and CMS contractor documents and provide the nation's most comprehensive resource for the evaluation of RAC audit focus areas and the preparation for CMS audits & CMS appeals.
The following is a sample of over 40 CMS self-audit and RAC appeals templates currently available for purchase by healthcare providers:
- Extensive O.R. Procedures Unrelated to Primary Diagnosis (approved RAC issue - 12/09)
- IV Hydration & Therapy (approved RAC issue - 08/09)
- Blood Transfusions (approved RAC issue - 08/09)
- Bronchoscopy (approved RAC issue - 08/09)
- Once in a Lifetime Procedures (approved RAC issue - 08/09)
- Neulasta J2505 (approved RAC issue - 08/09)
- One Day Stays - Chest Pain & GI
- Surgical Procedures in Wrong Setting (PCI / ICD)
- Inpatient Rehabilitation Facility Admissions
- Respiratory Diagnosis Sequencing
- Excisional Debridement Documentation
- ER Visits & Use of Modifier 25
- SNF Admissions & 3-Day Acute Care Stays
- Outpatient Physical Therapy Visits
- Physician E&M and Procedure Visits
- Rural Health Clinic Visits
Single and multi-facility pricing options are available. Contact one of our Medicare compliance professionals, CMS clinical auditors or Medicare legal staff today with any questions and place your order request at (303) 586-5003 or e-mail us directly at compliance@racaudits.com.