Medical Reimbursement and Methodologist

Medical Reimbursement and Methodologist
Unit 3 Assignment
Unit outcomes addressed in this Assignment:
Examine coding compliance issues that impact reimbursement.
Course outcome assessed/addressed in this Assignment:
HI215-4: Articulate health care compliance strategies and reporting standards
Instructions: RAC Audits
Perform a search on RAC audits.
Prepare a 2–3 page paper to include the following:
What are RAC Audits?
Do you feel that they have been successful?
Look at specific information for your state (depends on which region you are in).
What kind of information can you find on the amount of money collected (most recent data available)?
As a medical coder, explain your role in assuring the accuracy of data and the prevention of a RAC audit? Can it be prevented?
Provide a table or graph depicting information you have obtained regarding your state. This can include amount recovered, number of providers reviewed, etc.
Refer to the information in your text on possible RAC issues and top errors.
The Medicare and AHIMA websites are a good place to start.
Supply references in APA format.
Reference search via website

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