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!

Update on CMS Recovery Audit Program and RAC Audits

Sign up for our free webinar to learn the latest on the Recovery Audit Program and RAC Audits.

eSolutions is pleased to present Brian Elza, Director of the Division of Recovery Audit Operations (Provider Compliance Group/Office of Financial Management) at the Centers for Medicare & Medicaid Services (CMS).  Mr. Elza will discuss the recent developments in the Recovery Audit Program. Join us on Wednesday, March 25 at 1 PM CST for this informative and interactive presentation.

eSolutions Newsletter | December 2014

It’s hard to believe that another year has already come and gone. Although we’re already looking ahead to 2015, I wanted to take a moment to reflect on the previous year and all that has happened.

2014 was a year of incredible growth for our company. eSolutions now supports more than 2,500 customers representing more than 12,000 provider locations, coast-to-coast. Meeting your needs is still our number one priority, and to ensure that we’re able to do this, we’ve expanded our customer service, development, and sales teams.

eSolutions Newsletter | November 2014

RAC Audits are Back!

After an extended break, it appears the Recovery Audit Contractor (RAC) audits will soon start to pick up steam. At this time, CMS is initiating contract modifications to the current recovery auditor contracts to allow the recovery auditors to restart some reviews. Most reviews will be done on an automated basis, but a limited number will be complex reviews of topics selected by CMS.  Complex reviews may include DRG validations (coding reviews), surgery, and therapy.