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A smarter way to protect your brand
RAC Audits: When to Appeal, How to Appeal –
A Guide to Success
Featuring:
Day Egusquiza
AR Systems
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Training Library Presents
RAC ATTACK – A Guide to Successful Appeals
“To Appeal or not to Appeal”
Chapter 2
I t t
Instructor:
D E
Day
Egusquiza,
i
P
Pres
AR Systems, Inc
RAC 2010
5
RAC –The Recovery Audit Contractor:
What’s a provider to do?
¾
¾
¾
¾
¾
¾
¾
¾
Wh
Where
are we today?
t d ? – powerful
f l updates
d t
Walking thru the process - defense /validation
audits/moving forward
Impact to departments –from letters to recoupment
How will the recoupments work – automated vs complex
Prevent the denial but know the Provider Options
Tracking and trending
5 levels of appeal – decision points
Balancing moving forward as well as looking back
RAC 2010
6
Roll out & RAC updates
This process is dynamic and may
change
h
daily
d il
RAC 2010
7
GAO finds CMS still sputtering
¾
¾
¾
¾
¾
Govt accounting office issued a report (March 2010) that indicated
“CMS failed to act on RAC findings results in $231 M loss.”
CMS did not actually take steps to correct the vulnerabilities the
program uncovered.
5 years after the launch of the demo RAC, CMS has yet to
implement corrective measures, let alone appt someone to oversee
the process.
CMS has taken steps to resolve it’s own coordination issues with the
permanent RACs, but 60% of the most significant issues uncovered
by the RAC have been ignored.
GAO recommended:
recommended: a) develop criteria to develop adequate
measures to reduce future improper payments; b) identify and
prevent future Medicare fee for service thru high level direction
within CMS and c) assess the effectiveness of the corrective action
plan for reducing future improper payments.
RAC 2010
8
Patient Protection and Affordable Care
A t March
Act,
M h 23
23, 2010
¾
¾
¾
¾
¾
Focusing on curbing fraud, waste and abuse in the Medicare
program.
Time period for filing Medicare FFS claims in Section 6404 of the
PPACA amended the timely filing requirements to reduce the
maximum time period for submission of all Medicare FFS claims to
one calendar year after the date of service.
Under the new law, claims for services furnished on or after Jan 1,
2010 must be filed within 1 calendar year after date of service. In
addition, mandates that claims for services furnished before Jan 1,
2010 must be filed no later than Dec 31, 2010.
The following rules apply to claims with dates of service prior to Jan
1, 2010: claims with dates of service before Oct 1, 2009 must follow
the prepre-PPACA timely filing rules. Claims with dates of service Oct
1-Dec
D 31
31, 2009 mustt be
b submitted
b itt d b
by D
Dec 31
31, 2010
2010.
Impact on denied claims with rebill potential with the RAC and MIC?
RAC 2010
9
O’Connor Hospital Medicare
Appeal Council Decision
¾
¾
¾
¾
¾
¾
¾
Many issues involving the ability to bill for OBS when an inpt is denied as
incorrect setting, BUT the care was medically appropriate.
Currently, there is no ability to bill for OBS hrs or other related outpt
services such as drug administration as the revenue codes are excluded
from the Part A on a Part B rebill
rebill..
However, the ALJ hearing the O’Connor case issues a ‘partially favorable
decision’ regarding the ability to rebill OBS.
The ALJ found that the “observation
observation and underlying care was warranted
warranted.”
CMS referred the case to the 4th level of appeal asserting that the ALJ erred
as a matter of law by ordering Medicare payment for the observation and
underlying care provided to the beneficiary because those services are not
separately billable under Part A.”
The Medicare Appeals Council “does not agree that the case contains error
of law.”
CMS officials
ffi i l have
h
no comment on the
h O’Connor
O’C
d
decision,
i i
b
but d
do tellll
FierceHealthFinance that ‘at this time, CMS does not expect to change the
current rebilling requirements.” RAC 2010
10
CMS Claim’s Review Entities
Roles of Various Medicare Improper Payment Reviews
Timothy Hill, CFO , Dir of Office on Financial Mgt
9-9-08 presentation
Entity
Type of
claims
How selected Volume of
claims
Purpose of
review
QIO
Inpt hospital
All claims where
hospital submits an
adj claim for a higher
DRG.
Expedited coverage
review requested by
bene
Very small
To prevent improper
payment thru
upcoding.
To resolve disputes
between bene and
hospital
CERT
All
Randomly
Small
To measure improper
payments
MAC
All
Targeted
Depends on # of
claims with improper
payments
To prevent future
improper payments
RAC
All
Targeted
Depends on the # of
claims with improper
payments
To detect and correct
past improper
payments
PSCZPIC
All
Targeted
Depends on the # of
potential fraud claims
To identify potential
fraud
OIG
All
Targeted
Depends on the # of
potential fraud claims
To identify Fraud
RAC 2010
11
Audience Polling Question #1
What is the furthest level of appeal you
have gone to and what has your
success rate been?
Understanding the RAC process
With D
Decision
i i P
Points
i t
RAC 2010
13
Summary: Review & Collection Process
1
Automated Review
New
Automated
Review
Issue
Posted to
RAC’s
website
2
RAC makes a
claim
determination
The Collection Process
3
Carrier/
FI/MAC
issues
Remittance
Advice (RA)
provider
to p
From Cmdr Casey, RN, CMS
N432:
Complex Review
6
New
Complex
Review
Issue
Posted to
RAC’s
Website
“Adjustment
based on a
Recovery
Audit”
Audit
9
8
Provider
submits
medical
records
• Provider has 45 + 10
calendar days to
p
respond
• Providers may
request an extension
• Claim is denied if no
response
RAC clinician
li i i
reviews
medical
records;
Day 41
Carrier/FI/
MAC
recoups
by offset
• Recoupment
will NOT
occur if:
9provider
has paid in
full; or
9provider
filed an
appeal BY
day 30
makes a claim
determination
• RAC has 60
calendar days
from receipt
p of
medical record to
send the Review
Results Letter
5
If no
findings
STOP
RAC
14 2010
14
Walking Thru – Results Letter
Letter-complex reviews only
¾ Results
letter is sent regardless of a
recoupment. No recoupment is also
included.
included
¾ Results letter do not include a dollar amt.
¾ Demand
D
d lletter
tt ffollows
ll
shortly
h tl th
thereafter
ft
with a $ amt.
¾ Remittance with N432 notifying of
pending recoupment also occurs during
the same period.
RAC 2010
15
Sample DRG Results Letter
2010
RAC 2010
16
Pt specific results
RAC 2010
17
Now you have the Demand
RAC letter..
¾
¾
¾
¾
¾
¾
¾
Review results of the initial validation review.
Involve physician if necessary to assist in developing an
appeal strategy.
If no appeal is appropriate, flag the account for
recoupment and monitor.
Prepare a letter to send to the pt; watch for Medigap
recoupment &/or refunds
Determine rebilling potential for lesser services.
Determine the value of using the informal 11-40 day
discussion period.
R
Request
t an Automatic
A t
ti Offset
Off t off amtt to
t be
b recouped
d from
f
the MAC.
RAC 2010
18
Decision Process
¾
Once the results or demand letter has been received,,
each provider/facility must make a decision – to appeal
or not to appeal.
¾ Approaches:
z
z
z
z
z
Kitchen sink – appeal everything
Determine ‘‘appealibility
appealibility’’ of the denial
If appealing, decide to appeal within 30 days of the demand and
incur interest
If appealing, appeal within the normal 120 days, with funds
recouped at 41 days, with interest from day 30
If appealing,
pp
g appeal
pp
within the normal 120 days,
y p
pay
y the
demanded amt within 30 days, no interest.
RAC 2010
19
Provider Options – RAC overpayment
determination
(Noridian Medicare Part A contractor, 3
3--10)
Which option
should I use?
Discussion
Period
Rebuttal
A rebuttal should be
submitted only on rare
occasions of extreme
financial hardship. The
rebuttal process allows
the provider the
opportunity to provide a
statement and
accompanying
evidence indicating why
the overpayment would
cause extreme financial
h d hi
hardship.
A rebuttal is not
intended to review
supporting medical
documentation. A
rebuttal should not
duplicate the
redetermination
RAC 2010
process.
The discussion
period offers the
opport nit to
opportunity
provide additional
information to the
RAC to indicate
why recoupment
should be
initiated. It also
offers the RAC
opportunity to
explain the
rationale for the
overpayment
decision.
Redetermination
A redetermination
is the first level of
appeal A
appeal.
provider may
request a
redetermination
when they are
dissatisfied with
the overpayment
decision A
decision.
redetermination
must be submitted
within 30 days to
prevent offset on
the 41st day.
20
More on Provider Options
Discussion
period
Rebuttal
Redetermination
Who do I Contract RAC
Contractor/MAC
Contractor/MAC
Timeframe
Day 1-40
Day 1-15
Day 1-120; must be
submitted within 120
days of demand
letter. To prevent
offset on day 41; file
within 30 days but
interest will accrue
(Transmittal 141)
Timeframe begins
Automated review
reviewupon demand letter:
Complex-upon
results letter
Date of demand
letter
Upon receipt of
demand letter
Timeframe ends
Day 40 (offset
begins on day 41)
Day 15
Day 120
RAC 2010
21
New Appeal Transmittal
¾ Transmittal
¾
¾
¾
¾
¾
¾
¾
1762
1762, CR 6377 July 2
2, 2009
www.cms.hhs.gov/transmittals/downloads/R1762CP.pdf
Glossary of terms
All appeals are on behalf of the beneficiary. “A provider or supplier
may represent that beneficiary on the beneficiary’s behalf. No fee.
CMS can assign liability to the pt if they ‘should have known’ nonnoncoverage. Uncommon…
“When an appellant requests a reconsideration with a QIC (level 2),
the contractor (MAC/FI) must prepare and forward the case file to
the QIC. “
Letter format for appeals
Elements of each level of appeal
pp
RAC 2010
22
Understanding ‘interest’
‘interest’
NEW Transmittal 141,
141 CR 6183
6183, 9
9--12
12--08
“Limitation on Recoupment (935) “
¾ If
the facility decides to appeal a RAC
determination--understand the process:
determination
z
z
z
z
z
If an appeal is filed within 30 days, the MAC/FI will not take back the funds.
(Take back is immediate and will occur within 41 days of notice if no appeal.)
However, while the facility is going thru the numerous Medicare steps of appeal,
interest will accrue on the amount that is being disputed.
If the overpayment dispute is overturned at any level of the appeal process
process, the
interest will be removed.
If the overpayment dispute is not overturned, then the interest is left on the
account.
Th overpaymentt take
The
t k back
b k will
ill iinclude
l d th
the iinterest.
t
t
There is an incentive to only appeal the determinations where there is a good
reason to believe it will be overturned. “Punished’ for appealing
pp
g all.
(www.cms.hhs.gov/transmittals/downloads/R141FM.pdf)
RAC 2010
23
Transmittal 141, CR 6183
Section 935/Medicare Modernization Act, 2003
“Limitation on Recoupment”
¾ Overpayments
that are subject to
limitations on recoupment – appeals will
suspend the recoupment
recoupment.
z
z
z
Post-pay denials of claim under Part A and Part B
PostMSP duplicate payment
Both have demand letters
p y
recoveries WITH INTEREST if
Medicare will resume overpayment
the Medicare overpayment decision is upheld in the appeals
process.
www.cms.hhs.gov/transmittals/downloads/R141FM.pdf
www.cms.hhs.gov/transmittals/downloads/R141FM.pdf.
g
p . MN 6183
is also available at this website. 99-12
12--08
RAC 2010
24
Impact of Transmittal 141
Without filing an appeal
With a timely appeal
1) Recoupment in 41 days
1) Timely = 120 days/redetermination
Recoupment/offset will occur on the
41st day, but the appeal can still be
fil d
filed
2) Timely = 30 days/redetermination
from demand letter will stop the
recoupment from occurring on the 41st
day
3) Timely for level 2 = 180 days
4)) Timelyy for level 2 to stop
p
recoupment = 60 days from level
1/redetermination letter
RAC 2010
25
What about that Interest?
¾
¾
Penalty--If an appeal
Penalty
is filed to stop the
recoupment, interest
accrues every 30
days until
recoupment.
t If
overturned, no
penalty will be
assessed.
Average rate 11
11.00%
00%
¾
¾
RAC 2010
Recoupment occurs
but money is returned
after additional levels
of appeal are
completed.
Interest is paid to the
provider if
recoupment is
overturned. Each 30
day period
period. (CR 6183)
26
Audience Polling Question #2
What other types of medical claims
audits
dit are you managing
i with
ith your
existing RAC Management System?
RAC Appeal Process – Mirrors
regular Medicare appeal levels
with minor exceptions
RAC 2010
28
RAC FAQs
Q: Will the Recovery
y Audit Contractors
(RAC) appeal process mirror the regular
Medicare appeal
pp
p
process?
A: The Medicare appeals process will remain the same for
physicians under Part B and Part A nonnon-inpatient
claims. The only difference under Part A is for the
inpatient hospital claims under the Prospective Payment
S t
System
(PPS).
(PPS) In
I the
th currentt appeals
l process, the
th first
fi t
level appeal will go to the Quality Improvement
g
((QIO);
) however, the RAC appeals will g
go
Organization
to the Fiscal Intermediary that processed the claim.
RAC 2010
29
Timeline for Appeal Process
Type of appeal
Provider timeline Determination by Decision
within…
Timeline within.
Redetermination
120 days from initial
determination
FI, Carrier or MAC
60 days of receipt
Reconsideration
180 days from the
redetermination
d t
i ti
QIC
60 days of receipt
Hearing by the ALJ
60 days from the
QIC’s
reconsideration;;
Balance at least
$120
ALJ
90 days of receipt
Board of Medicare
A
Appeals
l C
Councilil
60 days from the
ALJ’ decision
ALJ’s
d i i
Board of appeals
90 days of receipt
Judicial Review in
US district court
60 days from the
Council’s decision;
at least $1180
US Court
Normal legal/court
process
RAC 2010
30
RAC 2010
31
RAC 2010
32
RAC 2010
33
When Can Recoupments Occur
¾
Options::
Options
¾
¾
If no formal (1st level)
appeal is filed within 30
days(or payment is
made) of the recoupment
notice,, the recoupment
p
will occur on the 41st day.
1st level = 120 days to
fil B
file.
Butt if nott d
done iin 30
days, eligible for
recoupment.
¾
¾
RAC 2010
If level 2/reconsideration
is upheld, recoupment will
occur prior to ALJ
decision
decision.
If a date for appeal is
missed, recoupment
process begins.
Interest will either be
charged against or added
to the acct – depending..
See table
34
Timeframe for Medicare Recoupment
Process after the first demand letter
Transmittal 141, CR 6183
Ti f
Timeframe
M di
Medicare
Contractor
C t
t
P
Provider
id
Day 1
Date of demand letter (date
demand letter mailed)
Provider receives notification by
first class mail of overpayment
determination
Day 1-40
Day 41 deadline for discussion
request. (w/RAC) No
recoupment occurs
Provider must submit a
statement within 15 days from
the date of the demand letter
Day 1-40
No recoupment occurs
Provider can appeal and
potentially limit recoupment from
occurring
Day 41
Recoupment begins
Provider can appeal and
potentially stop recoupment.
RAC 2010
35
Redetermination
Documentation Process
Send ALL medical records for Redetermination level of appeal
Entire medical record reviewed
Medicare Redetermination Notice ((MRN))
Summary of the Facts:
- Specific claim information
Explanation of the Decision:
- Most important element of the MRN
- Provides the logic for CMSCMS-FI decision.
decision
What to Include in your Request for an Independent Appeal:
CMS--FI p
CMS
provides a list of documentation needed to make a decision
for next level of Appeal.
RAC 2010
36
RAC Appeal Guidelines
May
y use CMS
CMS--20027 ((Redetermination
Request Form) or
Send letter on provider letterhead
Also include
~ RAC determination letter
~ Detail page specific to claim
~ Any additional supporting information
Send to FI
RAC 2010
37
3 Potential Outcomes with
R d t
Redeterminations
i ti
¾
Full reversal of the overpayment
p y
decision.(If
(
the recoupment had already occurred, verify no other
outstanding debt, then repay.)
¾
P ti l reversall = the
Partial
th debt
d bt is
i reduced
d
d below
b l
the initial stated amt. FI/MAC will recalculate the
correct amt.
amt Letter will indicate same
same. Recoupment of
remaining debt may start no earlier than 61 days from
the date of the revised overpayment determination.
¾
Full Affirmation of the Overpayment decision.
CMS will issue 2nd or 3rd demand letter which will state
begin recoupment on 61st day unless QIC notice of
reconsideration appeal filed.
RAC 2010
38
2007 History of
Redeterminations
¾
¾
¾
186 M claims
furnished by
hospitals, SNF, HH
and other providers.
14.5 M were denied
FI/MAC did appx
240,000 Part A
redeterminations=
d
i i
1.7% of these denials
resulted in an appeal
appeal.
¾
¾
¾
¾
RAC 2010
Redeterminations
Dispositions:
Part A: 45%
%
unfavorable, 5%
partial, 50% favorable
Part B: 37%
unfavorable, 3%
partial,
i l 60%
favorable.
Not all were RAC/Unable to
discern.
39
RAC 2010
40
RAC 2010
41
RAC 2010
42
RAC 2010
43
Who are the Original Medicare
Qualified Independent
Contractors/QIC/Level 2?
¾ Part
A East: Maximus
Maximus,, Inc
¾ Part A West: Maximus
Maximus,, Inc (as of 12
12--08)
¾ Part
P t B North:
N th Fi
Firstt Coast
C
t Services,
S i
IInc
¾ Part B South: Q2 Administrators, LLC
¾ DME: Rivertrust Solutions, Inc
Source: www.cms.hhs.gov/OrgMedFFSAppeals
RAC 2010
44
Next steps for Recoupment
Process
Timeframe
Medicare Contractor
Dayy 60 following
g revised Date reconsideration
notice of overpayment
request is stamped in
following redetermination Mailroom, or payment
received from the
revised overpayment
notice
Provider
Provider must p
pay
y
overpayment or must
have submitted request
for 2nd level of appeal to
stop the recoupment
Day 61-75
Recoupment could begin Provider appeals or pays
on the 61st day
Day 76
Recoupment begins or
resumes
RAC 2010
Provider can still appeal.
Recoupment stops on
p of appeal.
pp
date of receipt
45
How to file a Reconsideration
Level 2
¾
Written appeal
pp
request
q
sent to QIC within 180
days of receipt of the
redetermination (To stop
redetermination.
recoupment=60 days)
¾
¾
¾
¾
If the form is not used,
a written request must
contain all the following:
¾
Bene name
Bene’s HIC #
Specific service & items for which the
reconsideration is requested and
specific dates of service
Name and signature of party
Name of the contractor that made the
redetermination
Clearly state why you disagree with
reconsideration determination
determination.
¾
Follow instructions on
¾
Medicare
Redetermination Notice
¾
((MRN))
¾
Use standard form CMSCMS¾
20033.
Form is mailed with the
MRN.
RAC 2010
46
3 Potential Outcomes with
Reconsiderations
¾
¾
¾
Full reversal – same as redeterminations
Partial reversal – this reduces the
overpayment.
p y
Q
QIC issue a revised demand letter
or make appropriate payments if due of an
underpayment amt. Recoupment will begin on
the 30th day from the date of the notice of the
revised payment.
Affi
Affirmation
i – recoupment may resume on the
h
30th calendar after the date of the notice of the
reconsideration.
reconsideration
RAC 2010
47
2007 Reconsideration History
¾
¾
¾
QIC (Qualified
Independent
Contractors)
processed appox
400,000 appeals in
2007
2007.
DME is separate.
N allll were
Not
RAC/unable to
discern
discern.
¾
¾
¾
RAC 2010
Reconsideration
Dispositions:
Part A: 79%
%
unfavorable, 3%
partial, 18%
favorable.
Part B: 64%
unfavorable,
f
bl 5%
%
partial, 31%
favorable
favorable.
48
And then there was
ALJ/Administrative Law Judge
¾
¾
¾
¾
Medicare contractors can initiate ((or resume))
recoupment immediately upon receipt of the QIC’s
decision or dismissal notice regardless of subsequent
appeal to the ALJ (3rd level of appeal) and all further
appeals.
If the ALJ level process reverses the Medicare
overpayment determination, Medicare will refund both
principal and interest collected + pay interest on any
recouped funds that may kept from ongoing Medicare
payments.
If other outstanding debts, interest is applied against
those first before payment to the provider is made.
Can add up same issue items and fill jointly.
RAC 2010
49
Contingency Fee Rules
¾ RAC
must payback the contingency fee if
the claim was overturned at…
z
z
Demonstration RAC
Permanent RAC
RAC 2010
first level of appeal
any level of appeal
50
RAC ATTACK Rollout
¾
¾
¾
¾
¾
Create tracking and trending tool.
Track all requests – look for patterns as to why
the request was sent.
Track all recoupments with reasons.
reasons Implement
physician & nursing documentation training;
CDM c
C
changes;
a ges; Dept
ept head
ead ed o
on charge
c a ge
capture/billable services; coding ed,
ed,
continued inhouse defense auditing.
Determine best practices for TNT..
Develop corrective action w/immediate
implementation. This is not optional!
RAC 2010
51
Tools for Success
¾
¾
¾
¾
¾
¾
Look at a tracking tool
Continue to learn from other states as the roll
out to 2010 is completed.
Watch for ongoing education from CMS
Look for trends identified from auditing and data
mining.
Internally audit, train – audit, train some more
Explore creation of a RAC SpecialistSpecialist-the most
detailed person in the revenue cycle!
RAC 2010
52
RAC 2010
53
First Level of Appeal
WHAT:
WHO:
USING:
HOW:
TIME:
Redetermination
Carried out by the FI
Form CMS 20027
Send request to MAC/FI
120 days from initial decision
~ No minimum amount in controversy
RESULTS: Review must be completed in 60 days
MAIL TO:
pp
Attention: Part A Appeals
Check with your FI for correct address
RAC 2010
54
Second Level of Appeal
WHAT:
WHO
WHO:
Reconsideration
C i d outt b
Carried
by th
the QIC/
QIC/qualified
lifi d indpt
i d t
contractor
USING:
Form CMS 20033
HOW:
Request sent to QIC
TIME:
180 days from the date of
Redetermination decision
~ No minimum amount in controversy
RESULTS:
Review must be completed in 60 days
RAC 2010
55
Third Level of Appeal
WHO:
Administrative Law Judge (ALJ)
HOW:
File with the entity specified in QIC’s
reconsideration notice
(HHS OMHA field office)
60 days
y from the date of QIC’s
TIME:
reconsideration notice
~ Amount in controversy must be at least $120 as of
January 1, 2006
RESULTS R
RESULTS:
Review
i
mustt b
be completed
l t d iin 90 d
days
RAC 2010
56
Fourth Level of Appeal
WHO:
Medicare Appeals Council
(Al referred
(Also
f
d tto as D
Departmental
t
t l
Appeals Board)
HOW:
Carried out by an independent
agency within DHHS
TIME:
60 days from ALJ decision
~ Amount in controversy – carried in from ALJ
RESULTS: 90 days to complete review
RAC 2010
57
Fourth Level of Appeal
Medicare Appeals Council Address:
Departmental Appeals Board, MS 6127
330 Independence Avenue, SW
Cohen Building,
Building Room G 644
Washington, DC 20201
RAC 2010
58
Fifth Level of Appeal
WHAT:
WHO:
TIME:
Federal Court Review
Carried out by The Federal District
Court
60 days from the Medicare Appeals
Council decision
INCLUDE: ~ Amount in controversy - $1180
(effective 01/01/06))
~ Date of request
RAC 2010
59
Fifth Level of Appeal
Federal Court Review Address:
Department of Health and Human Services
General Counsel
General Counsel
200 Independence Avenue, SW
Washington, DC 20201
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60
References
Revisions to appeals process
l
– CR 3530 –MM 3530
– CR 3939 CR 3939 –MM
MM 3939
3939
– CR 3970 –MM 3970
– CR 4147 –MM 4147
•
Requirements – PUB 100‐04, Chapter 29, Sections 310.1
and 310.1
Information on appeals process
http://www.empiremedicare.com/PartA/parta_appeals.htm
Documentation requirements
– MNU 2006
MNU 2006‐01,
01, January 2006
January 2006
RAC 2010
61
References: Appeals
pp
information
Appeals: Administration Law Judge;
Departmental Appeals Board; U.S. District
Court Review
Changes to chapter 29 – Appeals of claims
decisions –revised
Appeals of RAC decisions
– MNU 2006 02
Appeals of ALJ, Departmental Appeals Board,
and U.S. District Court Review
– CR 4152
Slide Material Culled from: 1) 06/2007 Medicare Appeals Process Provider Outreach & Education
2) CMS 03/07/2006_Appeals_Session_Materials
RAC 2010
62
Audience Polling Question #3
Would you like to learn how AR
Systems
y
or Compliance
p
360 can
help you manage RAC audits?
AR Systems’
y
Contact Info
Day Egusquiza, President
AR Systems, Inc
Box 2521
Twin Falls, Id 83303
208 423 9036
d l 1@ i d i
[email protected]
Thanks
Th k for
f joining
j i i us!!
RAC 2010
64
Compliance 360 “Cash
Cash for Clunkers
Clunkers”
www compliance360 com/cashforclunkers asp
www.compliance360.com/cashforclunkers.asp
Compliance 360 Launches “Cash-for-Clunkers” Trade-In Program
Healthcare Providers Can Receive Trade-In Credit When Licensing the
Compliance 360 Claims Auditor for Managing Medicare and Medicaid
Overpayment Recovery Audits
65