Improper payments may be over or under payments received by Medicare

Under payments occur when the medical record i ndicates that something more complicated was perforrmed.  The RAC Audit can reveal both problems.  The RACs have been retained to uncover inappropriate paymentws made on claims of healthcare services provided to medicare beneficiaries.     96% of the inappropriate payments are overpayments resulting in over 1 Billion collected.  Overpayments occur when providders submit claims that do not meet CMS coding.  Just three RACs are retained to find inappropriate payments, the othwr three look for situations where MediCare should not have paid at all because other insurance was in place covering the service.  It is imperative that physicians and practice groups contact their medical malpractice Carrier for resources to help them prior to being named in an audit:  Educate staff about coding:  Develop a RAC Compliance plan, Designate a RAC response team and leader (this is where our Mediguard Plus comes through for o ...
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Malpractice, Professional Liability Newsletter

In Crittenden (Malpractice, Professional Liability Newsletter out of Novato California (our neighbor providing us with information on trends and developments in this market), we learn that Insurers are expecting to provide professional liability for more dentists as the economy recovers. Companies are looking to add benefits to accommodate the 1.5 million workers who have been added to the non farm, non temp job rolls since February of last year.

Because of an increase in demand for dentists, the liability rates will go up in the coming months.

At the moment, however, TDC offers competitive rates for general dentists, Orthodontists and Oral and Maxillofacial Surgeons.

                                              

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