Strategic Assessment: Prepare Now for RAC Auditors –
4 Steps to Risk Mitigation

(3/3/2008) There are two types of RACs: Claim RACs, who review claims and medical records for incorrect payments, and Medicare Secondary Payor (MSP) RACs, who identify Medicare as a secondary payor.  RACs are paid a contingency fee based on the overpayments they identify and collect which is the first time that the Medicare program has ever paid a contractor on a contingency fee basis for this type of recovery.  Click for more…

All Star Links:

CPT Look Up: CMS physician fee look up based upon CPT and HCPCS codes.

NPI Look Up: Look up for provider and organizational NPI and taxonomy codes. Click Search NPI registry.

Medicare Public Use Files and Statistical Data (CMS): This portion of the CMS website is full of valuable statistical information and public use files. Find data sets, fee schedules, payor reports, RAC information.

State Health Facts: Excellent collection of health data for all 50 states, free public data.


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Latest News:

“Cowboys vs. Scientists”: HEOPS Sponsors Innovative Network Contracting Congress in Las Vegas February 25, 2010 (Las Vegas, NV) Approximately 100 delegates from many of the nation’s top health plans and key provider organizations met in Las Vegas for the inaugural 2010 Network Contracting Congress on February 25, 2010. This premier network contracting event was organized by Global Media Dynamics and sponsored by HEOPS.

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