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Issue #3 - November 21, 2012

Auditing/Compliance Tips and Resources

Obvious RAC Error? Move Fast and Rebut

If you receive a letter from a Medicare recovery audit contractor (RAC) regarding overpayment, don't panic! You may think you only have two options: pay up or launch an appeal. There is another option, however, if you move fast (before a formal appeals process starts) and are certain the RAC is mistaken about the overpayments.

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Get Primed on Stark Law
By Mary Pat Whaley, CPC, FACMPE

In health care, we manage an abundance of rules, policies, standards, and laws. Three important regulations are the False Claims Act, Stark Law, and Anti-Kickback Statute, which you should not only know about, but should be actively managing via a robust compliance plan.

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ABNs: What NOT to Do

The Centers for Medicare & Medicaid Services (CMS) recently released a new Advanced Beneficiary Notice of Noncoverage (ABN), making it a perfect time to refresh your understanding of this mandatory form and make sure you are using it appropriately.

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In This Issue
Obvious RAC Errors
Get Primed on Stark Law
ABNs: What NOT to Do

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