Winchester, CA (PRWEB) January 4, 2010 -- RACs began “Automated Reviews” of claims on August 1, 2009. CMS has sent Medicare claims data from October 2007 to February 2009 to the RACs for data mining purposes. The RACs have the ability to analyze this data and look for overpayments without requesting any medical records from your practice.
American Business Solutions (ABS) has a new auditing service that will make sure practices are compliant with the Medicare and commercial payor regulations. Theresa Vezzani, a founding consultant with the company, said that the firm helps providers reduce their risk of audits by conducting a independent review of coding, documentation and compliance procedures by reviewing medical data and billing data. The financial losses could be devastating if you are not prepared for an audit or understand your right to appeal once the audit concludes.
"Our top auditors participated on a RAC team for CMS and know what the RAC’s are looking for, not only are the coders who perform the review highly experienced, they have extensive practice in performing audits for government programs," said Theresa Vezzani, owner of American Business Solutions.
“And, you can expect carriers to ramp up their own audit efforts using targets from permanent RACs. The Medicare Administrative Contractor (MAC) is almost guaranteed to intensify its own auditing process using the same targets chosen by the Recovery Audit Contractors, “ said Ms. Vezzani.
The company has a page set up on their website with details of how the process works, along with Frequently Asked Questions and contact information. AmericanBizSolutions.com
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Contact Information:
Theresa Vezzani
American Business Solutions
866-205-3992