2 Day Mock RAC (Recovery Audit Contractor)

Mock RAC audits generates a compliance rating for providers through clinical and documentation review related to therapy services and related MDS and billing procedures.

Mock RAC audits generates a compliance rating for providers through clinical and documentation review related to therapy services and related MDS and billing procedures. Harmony HealthCARE Specialists will recommend systems to ensure compliance through Medicare Part A claims analysis, MDS coding assessment, therapy and nursing documentation analysis, UB-04 review as well as ICD-10 coding review.

The role of auditing and monitoring goes hand in hand with an organization’s compliance plan and is the mechanics of operating the program after other steps have been accomplished. Reliable auditing and monitoring includes all aspects of facility operations and takes into consideration the compliance program.

How can Harmony Healthcare International (HHI) help?

Harmony Healthcare International (HHI) can assist with development of effective auditing and monitoring processes which are reliable, workable and produce results that enhance processes, outcomes and systems and include some of these basic elements:

  • Specifically identify and target what will be monitored
  • Identify specific action steps of the monitoring process for what will be audited
  • Identify a communications plan for how intelligence gathered from auditing and monitoring will be shared and used within the organization

The results from regular auditing creates data that can be used to track successful implementation of initiatives built around areas of risk identified in the risk assessment and described in the Compliance Plan.  The data is then used to adjust processes that directly influence the identified risk area initiative performance and ensure that providers know if they complying with substantive laws, policies and procedures.  These results are the basis for Annual Compliance Plan reporting to the Board of Directors.

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