Audits & Compliance Do You Know Your Audit Risk?

You are not alone. 

RAC audits are no longer a question of if you will be audited, but when?  CMS' website warns that "...if you bill fee-for-service, your claims will be subject to review by the RAC's".  For more information on RAC audits, view CMS' RAC audit page and respective links (http://www.cms.hhs.gov/RAC/).

At OCI, we are well aware of how multiple rule changes have made it confusing as to what are acceptable and what are unacceptable billing practices. If your billing processes have not been updated in recent years, you may very well be experiencing over/underpayments that either highlight lost profits or result in repayment and/or possible fines as the result of a RAC audit.

OCI’s proprietary Revenue Recovery products offer unmatched attention to detail in examining your charts’ data.

• Our proprietary, algorithm-based software alerts us to all possible missed charges which are then painstakingly reviewed for compliance verification.
• We don’t just sample 10-20 of your charts; we examine data from ALL of them.
• The difference between OCI’s Revenue Recovery products and a typical audit is that, after analyzing your data, we can not only suggest process changes, we also provide meticulously reviewed reports of all your organization’s over- and under-payments.
• You can recover under-payments and/or repay over-payments before the RAC auditors find them.

For more information on our Medical Oncology service please go to the INFUSION REVENUE RECOVERY™ page.

For more information on our Radiation Oncology service, please go to the RADIATION REVENUE RECOVERY™ page.