The federal government recently implemented the "Recovery Audit Contract (RAC)," a new control process intended to weed out the large volume of fraudulent medical claims. 

RAC audits cover any provider who bills fee-for-service Medicare, Medicaid, or commercial insurance programs. 

The audits check for evidence of fraud by examining three common indicators of fraud: 

• Coding inconsistencies
• Documentation to support the medical necessity of the services provided.
• Overpayments or underpayments to providers.

Inconsistencies may result in penalties that include payment, interest and continued audit every 45 days until they find no further evidence of fraud. Our MD Audit Shield services eliminate inconsistencies in your billing by:

• Reviewing 50 records at random from your billing to check for any improper coding and non-compliance issues with Medicare/Medicaid appear.
• Specifying corrective actions needed to comply with codes.
• Providing audit support. 

Contact us today to prepare for RAC auditing.