Be Prepared for RAC Audits

Healthcare providers are no strangers to the RAC (Recovery Audit Contractor) audit program. Since 2009, the Centers for Medicare & Medicaid Services (CMS) has awarded contracts to private companies to review Medicare claims and recover potential overpayments. We’ve all recently had a welcome break from RAC audits, but that’s about to change. Last month, CMS awarded new contracts to several companies, and a new wave of audits is set to begin as early as January!

eSolutions October Newsletter

eSolutions October Newsletter


Product Updates


Maven Follow-Ups

The follow-up feature on the Home tab in Maven has been enhanced to allow advanced filtering. When you mark an appeal or ADR for follow-up, the claim displays in the Claims marked for follow-up section of the Home tab. You can now use the My Groups drop-down to view all follow-ups, or filter by group (based on your permissions).

eSolutions Newsletter: April 2016

Check Out Our New Multi-Payer Solutions

As you may know, eSolutions recently acquired ClaimRemedi. Based out of Santa Rosa, California, ClaimRemedi is a provider of billing systems and clearinghouse services. You already know about the many ways eSolutions can help with your Medicare billing, so here’s a rundown of everything we now have to help you with your other payers.