Voluntary Refunds Don't Protect Against RACs
Those providers who review claims individually may feel a little less incentive to report errors and refunds they discover since the claims aren't protected from RACs, but not doing so is a compliance problem. Ignoring a false claim is never a good idea, says Mackaman.
Nor should this news discourage providers from self-auditing in the first place. Providers can use audit results to better understand their risks, to change internal processes regarding areas of concern, and to appropriately return reimbursements for claims paid in error, according to Mackaman.
Andrea Kraynak, CPC, is senior managing editor of Medical Records Briefing and HIM Connection. She may be reached at email@example.com.
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