Editor’s note: Debbie Mackaman, RHIA, CHCO, regulatory specialist for HCPro, Inc., is the author of this week’s note from the instructor.
Many providers are taking a proactive approach to the arrival of RACs and performing their own audits. Using the RAC “hot topics,” providers are using those audit outcomes to understand their risks, to change internal processes regarding areas of concern and to return reimbursements for claims that were found to be paid in error.
Once a self audit has been performed and if an improper payment has been identified, what should be the provider’s next steps?


