News & Insights

Healthcare is a people-centric industry. Clinically, frontline workers provide care to patients, support staff guide patients through their time in the hospital and even financial counselors work...

  When it comes to audit management and response, Individual hospitals face their fair share of internal obstacles and workplace issues. But in large health systems, run-of-the-mill problems...

Happy birthday to the Centers for Medicare and Medicaid Services’ (CMS) Electronic Submission of Medical Documentation (esMD) Program! At ten years old, we can say without a doubt it’s only getting...

Table Of Contents: Chapter One: History of Recovery Audits Chapter Two: Types of RAC Audits Chapter Three: RAC Audit FAQ Chapter Four: The Audit Process Chapter Five: What Can You Do To Prepare For...

Every year, review contractors issue an estimated 2 million requests to healthcare providers for medical documentation and records, according to the Centers for Medicare & Medicaid Services (CMS)....

A Recovery Audit Contractor (RAC) is a third-party entity working on behalf of the United States government Centers for Medicare and Medicaid Services to identify and recover improper payments made...

When making a change or improvement within your healthcare audit process, reporting is often thought of as the last piece of the puzzle or even overlooked entirely. Many managers are forced to...

Whether you’re a coordinator in the audit and appeals department in a big hospital or an office manager in a small private practice, audits are just another part of the job. They may not always be...

In an ideal world, an audit response process would be as simple as receiving notice of the audit, sending back some paperwork and moving on with your work. But anyone who has ever worked on a...