Oregon Medical Association / OMA News
Last Chance to Register for RAC Educational Session on July 23
The OMA will be hosting a Recovery Audit Contractor (RAC) program educational session with CMS and HealthDataInsights (the RAC for Oregon) for physicians and their staff on July 23 at the OMA Headquarters. There will be two times available - a morning session (9:30 am-12:30 pm) and an afternoon session (2:00-5:00 pm). To register for either program, visit www.theOMA.org/rac (be sure to turn off your pop-up blocker, if there are issues accessing the online registration form).
Shortly after CMS conducts this educational session for physicians and their staff, HealthDataInsights, Inc. will start auditing claims. You do not want to miss this opportunity to learn more about the RAC program and how you can prepare for a RAC visit to your office.
The Recovery Audit Contractors program is administered by the Centers for Medicare and Medicaid Services to identify improper payments made on claims of health care services provided to Medicare beneficiaries. Improper payments may be overpayments or underpayments. Overpayments can occur when health care providers submit claims that do not meet Medicare’s coding or medical necessity policies. Underpayments can occur when health care providers submit claims for a simple procedure but the medical record reveals that a more complicated procedure was actually performed.
Health care providers that might be reviewed include hospitals, physician practices, nursing homes, home health agencies, durable medical equipment suppliers and any other provider or supplier that bills Medicare Parts A and B.
For more information on the RAC program, visit www.cms.hhs.gov/rac (note this is the CMS website and is different than the OMA website indicated above) or contact Reina O’Beck at reina@theOMA.org or (503) 619-8000. For more information on registering for this event, contact Jenn Webster at jenn@theOMA.org or (503) 619-8000.
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