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 Medicare RAC Audit Tools
2010 Medicare RAC Audits & RAC Appeals Guide and RAC Self-Audit Tools
Both the 2010 Medicare RAC Audits & Appeals Guide and RAC self-audit tools are currently available - no upfront payment required!
The nation's leading RAC audit and RAC appeals resources - Over 5,000 documents & 125,000 pages of CMS payment criteria, RAC audit focus area documentation and RAC appeals guidance & legal support. Purchase the Guide today for only $495!!!
Purchase the electronic version of the Guide today on flash drive for only $495. The 2010 RAC Audits & Appeals Guide is highlighted, sorted and organized by primary RAC focus area. With over 5,000 RAC resource documents, the Guide includes the nation's most comprehensive resource of Medicare RAC audit & appeals tools, policies, procedures, presentations, legislation & regulations.
The Guide is also an invaluable resource for physicians or physical medicine providers 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 RAC Audits & RAC 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 RAC Audits & RAC 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
CRMG's experienced Medicare consultants, clinical auditors and CMS billing compliance staff unconditionally guarantees that the 2010 RAC Audits & 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 RAC Audits & RAC 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 (303) 586-5003 or compliance@racaudits.com. We will overnight the 2010 RAC Audits & Appeals Guide to you the next business day and shipping is FREE!
____________________________________________________________________________
Now Available - The Nation's Leading RAC Self-Audit Templates
CRMG's Medicare consultants and clinical auditors have made available RAC audits & RAC 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.
CRMG, the nation's leader 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 RAC self-audit templates are backed by over 5,000 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 RAC 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 consultants, clinical auditors or Medicare lawyers today with any questions and place your order request at (303) 586-5003 or e-mail us directly at compliance@racaudits.com.
The Guide is also an invaluable resource for physicians or physical medicine providers 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 RAC Audits & RAC 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 RAC Audits & RAC 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
CRMG's experienced Medicare consultants, clinical auditors and CMS billing compliance staff unconditionally guarantees that the 2010 RAC Audits & 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 RAC Audits & RAC 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 (303) 586-5003 or compliance@racaudits.com. We will overnight the 2010 RAC Audits & Appeals Guide to you the next business day and shipping is FREE!
____________________________________________________________________________
Now Available - The Nation's Leading RAC Self-Audit Templates
CRMG's Medicare consultants and clinical auditors have made available RAC audits & RAC 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.
CRMG, the nation's leader 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 RAC self-audit templates are backed by over 5,000 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 RAC 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 consultants, clinical auditors or Medicare lawyers today with any questions and place your order request at (303) 586-5003 or e-mail us directly at compliance@racaudits.com.