We Guarantee to Have Internal Control Diagram Layouts for Internal Auditing, Accounting, and Billing. "Audit planning is a vital area of the audit primarily conducted at the beginning of audit process to ensure that appropriate attention is devoted to important areas, potential problems are promptly identified, work is completed expeditiously and work is properly coordinated. PRG-Schultz USA, Inc. (subcontractor) 1-866-201-0580 info@dcsrac.com. Usually, there are two types of RAC audits Automated RACS and complex audits. Centers for Medicare and Medicaid Services Office of Financial Management 7500 Security Blvd . The nationwide RAC audit region is dedicated to reviewing Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Home Health / Hospice claims only, while the remaining four review all other claims. PDF MOCK RAC Audit Checklist - HCCA Official Site 4. Planning is fundamental stage of auditing process. If rejected, the DVC must collaborate with the RAC to attempt resolution. The DVC is an independent reviewer to protect the integrity of the Medicare Part D RAC program and ensure that improper payment determinations are accurate and unbiased before issuing theNIPs to plan sponsors. But still, every year, review contractors issue an estimated 2 million requests to healthcare providers for medical documentation and records. Recovery Audit Contractor (RAC) is an aggressive program that aims to seek reimbursements from healthcare providers. The purpose of the National Benefit Integrity Medicare Drug Integrity Contract (NBI MEDIC) is to detect and prevent fraud, waste and abuse (FWA)in theMedicare Advantage (Part C)andPrescription Drug Coverage (Part D)programs on a national level. Finding an ideal technology-based solution that fits your organizations needs can take a bit of research up front. Copyright The Rosenblat Law Firm 2023 All Rights Reserved. RAC Readiness Assessment Tool. The Medicare Part D DVC and the RAC collaborate to resolve differences. The first way to prepare is reading resources like this article and others across the web. Share sensitive information only on official, secure websites. Refers any potential fraud findings identified during the auditing process to the Medicare Drug Integrity Contractor. Established in 2002 by a team of experienced physicians, M-Scribe is a national provider of medical billing, coding, and documentation services for single providers, multi-speciality facilities, and hospital centers throughout the United States.
