PHOENIX, March 25 Cain and Associates (C&A) (http://www.cainandassociates.com) has joined forces with the national law firm of Hooper, Lundy & Bookman (HLB) to assist providers and suppliers with tools designed to combat government audits in the health care world. These audits could potentially wipe out millions of dollars from the balance sheets of hospitals and related businesses.
According to Scott Cain, CEO of the Arizona company (http://www.cainandassociates.com), hospitals are fighting for their lives in the midst of new challenges presented by the permanent Medicare's Recovery Audit Contractor (RAC) program. Under terms of the agreement, C&A and HLB will help organizations effectively respond to the RAC. It may be submitting medical records, participating in the Discussion Period with the RAC to overturn an initial unfavorable determination and avoid the appeal process, or navigating through the multiple layers of the Medicare appeals process.
"Hospital executives must be proactive in this difficult regulatory climate," he said. "This is a one-two punch that will save hospitals from potentially seeing millions of dollars removed from their accounts."
In RAC audits, auditors check medical records against payments. If they feel there is a discrepancy between what Medicare has paid and their determination of what they should have paid, they can recoup the difference. RAC began last year and is now implemented in all 50 states. Third-party auditors who find the discrepancies keep from 9% to 12.5% of payments identified as improper and then collect them from providers.
Cain & Associates, LLC (C&A) creates revenue opportunities for hospitals through proprietary technology and information gathering techniques. They have saved hospitals millions of dollars serving clients in New York, Virginia, Maryland, South Carolina, Ohio, Montana and Kentucky. For more information, please visit www.cainandassociates.com or call (800) 817-2148.
Cain & Associates: The Business of Health Care
SOURCE Cain and Associates