Begin now, before the RAC program resumes, with coding education for your facility from RACMonitor UniversityTM, powered by eduTrax®.
Lessons Learned Through Education
At RACUniversity, we have prepared nine must-have courses for everyone who touches medical records. These courses are organized to help you undertake necessary preparation for the RACs.
The first of three eCourses, The Prep Pack, focuses on lessons learned from the RACs, especially on the subject of significant overpayments and the lack of documentation to support medical necessity.
The second and third eCourses, Coding and Billing for Principal Diagnosis and Coding and Billing for Secondary Diagnoses, discuss how the RACs used data scrubbers to identify claims that had the highest probability of DRG changes: the reverse of an encoder.
Principal Diagnosis: The Problem Starts Here
From an inpatient perspective, the principal diagnosis is one of the main drivers that determine payment. If the principal diagnosis is wrong, the facility responsible could be paid incorrectly and therefore, the door is open for RACS recoupment. That makes sense.
Now add the new wrinkle: MS-DRGs. As you may know, the CMS DRG payment methodology changed in FY 2008 to Medicare Severity, or MS-DRGs. This date is also significant in that it is the base year for the RACs, meaning claims paid from Oct. 1, 2007 onward are open to RACs scrutiny! Are you prepared?
In addition to the three highlighted eCourses, others in the special curriculum include…
Coding and Documentation Hot Spots: Learn what the RACs attacked during the demonstration.
- Medically Unlikely Edits: At last count, there were over 8,000, with more to be added. It’s an extremely important subject.
- Excisional Debridements: RACs will be focused particularly in this area once the program resumes.
- Hot Spots #2: An in-depth look at vexing areas:
- Colonoscopies & EGDs.
- Coding and Billing for Outpatient Rehabilitation
- Coding and Billing for Drugs and Biologicals
Your facility will have unlimited access to these online courses, including handouts and documents, for a full year with unlimited viewing! Encourage everyone in your organization to review these crucially important eCourses.
Order Now: Nine Courses, $999.95
For more information on RACUniversity and the special educational offer, click here.