Audit results are an opportunity for providers to learn and improve billing accuracy. Last year, the Centers for Medicare & Medicaid Services (CMS) replaced its method of selecting targets for complex medical reviews with a new strategy called Targeted Probe and Educate (TPE). Medicare Administrative Contractors (MACs) will focus on providers who have the highest ...
Dec 1st, 2012
By Amy Lee Smith, MBA, CPC, CPC-H, CPMA, CIA, CRMA  Preparing for, and responding to, recovery audit contractor (RAC) reviews can be intimidating. You can lessen the pain, however, by understanding Medicare billing and coding rules and requirements, and being proactive in implementing controls to ensure compliance. RACs Review Across the Nation Section 302 of ...