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How to Survive the New RACs
Presented by Deborah Grider, 1 AAPC CEU Approved
This conference originally aired on: 01/29/2009
ON-DEMAND WEBINAR

If your facility hasn't yet been hit by the controversial CMS RAC program, brace yourself.

CMS recovered $371.5 million in improper Medicare payments in 2007, thanks to the help of its Recovery Audit Contractors (RACs) in California, Florida and New York. In place since 2005, the RAC demonstration program has been picking up steam and is now targeting improper payments in Massachusetts, South Carolina and Arizona. But these aren't just any auditors. Reports from states within the demonstration program areas consider RACs to be tantamount to “bounty hunters” because they get paid based on how much money they collect. And your state could be next. Know what you're up against -- and how to survive if you're already in the RAC jungle -- with Deborah Grider, CMA, CPC-EM, CPC-I, CPC-H, CPC-P, CCS-P, during this 1-hour audio learning session.

What you’ll learn:

  • CMS' viewpoint: The agency's scope and program objectives.
  • Why the program's so controversial -- and what CMS is doing to address these concerns.
  • What RAC-stricken physicians and clinics are dealing with now.
  • 3 Must-do steps to prepare for RAC audits -- as well as OIG and Medicare contractor visits.
  • Can I -- and should I -- appeal RAC decisions? Here's what the experts say.
  • Future concerns: projecting problem area identification and the expansion of external audits.
  • What types of facilities and specialties RACs are targeting next.

Who should listen? Coders, billers, practice managers and clinicians in all medical practices and hospitals, auditors, compliance personnel, and in-house counsel.

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Deborah Grider

Deborah Grider, CPC-EMS, CPC-H, CPC-P, CCS-P, is president of Medical Professionals, Inc, in Indianapolis; a full service consulting firm. She is the President of the American Academy of Professional Coders National Advisory Board.  Grider is a Certified Professional Coder, Certified Professional Coder-Hospital, Certified Professional Coder-Payer, and an E/M Specialist with the American Academy of Professional Coders. She is a Certified Coding Specialist with the American Health Information Management Association (AHIMA), and a member of the Peer Review Editorial Board for Contexo Media. Grider has been in healthcare for 30 years and speaks nationally across the country in relation to compliance, coding, and reimbursement. 

Grider is the author of many coding publications for the American Medical Association.  She is the author of Principles of ICD-9-CM Coding in its third edition, Coding with Modifiers in its second edition, Medical Record Chart Auditor in its second edition. She is also writing the ICD-10-CM Implementation Guide, which will be released in 2009.  In addition to authoring books for AMA, she is the author of the Certified Professional Coder-Hospital, study guide, independent study module 6 and 7 and the Professional Medical Coding Curriculum-Hospital for the American Academy of Professional Coders.

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"Learning about new edits and how best to appeal."
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"Good review of causes and actions to prevent/deal with"
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"Ability to listen to the program on my own schedule during the scheduled day! Great way to manage my time....."
- Anne-Marie Eugley

"Straightforward content, speaker was not monotone and kept the presentation moving along."
- Matthew Hale

 

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