You can’t rely on government-run RAC outreach sessions for the full story.
Answers are coming from those with first-hand experience in dealing with RACs, but very few people have it. Meanwhile, Part B News has been working with reporters, consultants and attorneys to clarify the rules RACs play by. It’s time to let you in on the secrets! At the end of this 90-minute session, you’ll know:
- Secrets about what RACs can and can’t do – such as how far back they can really go to scrutinize claims, when RACs can override carrier LCDs and why non-par providers can still be subject to RAC audits.
- Why your carrier will copy RAC targets to launch similar audits – and what you can do to stem the tide.
- Why it’s a good idea to make a settlement offer on large overpayments to your carrier, without involving your RAC, and tips to get it accepted.
- Two proven strategies that are almost guaranteed to win appeals, according to top CMS officials.
Join our expert speakers, attorney Larry Vernaglia and health care consultant Robert Freedman as they reveal how to live and work with a RAC, and in some cases, appeal erroneous overpayments and win.
Lawrence Vernaglia is a partner with Foley & Lardner LLP, representing a variety of providers and facilities, offering reimbursement compliance advice and appeals; patient care/medical ethics; fraud & abuse/Stark law analyses; managed care contracting; and general corporate and business planning in health care.
Robert Freedman has 30 years of experience in the information technology field and is currently Director of Business Development for Hayes Management Consulting’s MDaudit compliance software division. Robert represented major university health systems and hospitals during the RAC demonstration program. Apart from RACs, he also works closely with compliance executives at more than 50 leading healthcare organizations, providing guidance on audit automation and facilitating the sharing of best practices among clients. 