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Health Care Delivery

Health care delivery encompasses payer, regulatory, and system issues that impact the practice of medicine. As a result, MSMS is committed to providing members with information and resources on a variety of timely issues including, but not limited to, practice transformation; coding and billing; physician payment models; payer policies; quality and safety; evidence-based medicine; legal and regulatory compliance; and health information technology.

 

Recovery Audit Contractors (RACs) Leading to Practice Disruption, Lawsuits

ImageHospitals and physicians are now routinely being second-guessed about difficult treatment decisions by government-sponsored recovery audit contractors (RACs). RACs, which are paid primarily on the basis of how much Medicare funding is taken back from hospitals and physicians, review these care decisions years later without ever seeing or talking to the patient. Read more>> 

Have you been audited by a RAC? MSMS is putting together a number of resources to educate practices on RAC audits. To assist us in identifying needed resources, please share your experience with MSMS by contacting Stacie Saylor, CPC, at 517-336-5722 or ssaylor@msms.org.

 
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