The federal government has introduced the Recovery Audit Contract (RAC) program to identify and reduce fraudulent medical claims. Private auditing companies now review medical records and billing in all 50 states for Medicare, Medicaid, and commercial insurance providers.

These audits focus on:

• Coding errors
• Lack of documentation for medical necessity
• Overpayments or underpayments

If your practice is audited and issues are found, you'll need to repay any overpayments with interest. Auditors will continue reviewing your practice every 45 days until no further problems are found. Appeals have rarely been successful, and the program has already uncovered over $1 billion in overpayments in a few states alone.

Our MD Audit Shield service helps protect your practice by:

• Reviewing 50 random records to identify coding and compliance issues.
• Recommending corrective actions to ensure compliance.
• Making necessary changes to meet Medicare/Medicaid requirements.
• Providing support if your practice is audited.

Take proactive steps to protect your practice. Contact us today to learn more about MD Audit Shield.