Health Care Providers Brace for
Medicare Audits
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Original Publish Date:
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February 22, 2010
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Review Date(s):
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NA
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Term of Approval End Date:
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February 22, 2011
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Estimated Time to Complete:
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1 Hour
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Risk Management:
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Yes
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Course Format:
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Text and Graphics
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Course Fee:
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Mbrs-$10, Non Mbrs-$20
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To participate in this CME
activity: (1) review the information on this page which includes the
learning objectives and faculty disclosures; (2) read the course
pages; (3) complete the exam; (4) view/print certificate.
Course Information
General Information
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If you need to stop in the middle
of a course, you may return to the course at anytime to finish.
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When you have
finished reading the course pages click on CME Exam in the
Course Sections box (top right).
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To begin this
CME activity, read through the information on this page and
then click on the Start Course button.
Course Overview
In 2003, the U.S. Congress, under
Section 306 of the Medicare Prescription Drug, Improvement and
Modernization Act, in one of its attempts to detect and correct
administrative and resource waste in the Medicare program created a new
program called RACs. The program began in 2005 in NY, FL and CA, and
expanded in 2007 to SC, AZ and MA. By 2009, it encompassed 44 states and
the District of Columbia with the remainder of the country on board in
2010. This CME activity, "Health Care Providers Brace for Medicare
Audits" provides an overview of the program, high risk areas and
actionable steps a provider can implement to improve their practice and
prepare for a potential audit.
Intended
Audience
This course is intended for
physicians and allied health professionals.
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Course Objectives
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Describe the operational
structure of Recovery Audit Contractors (RACs).
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Present potential numerical
burdens of Recovery Audit Contractors (RACs) for providers.
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Identify for providers the
possible fiscal and legal consequences of Recovery Audit Contractor
(RAC) audits.
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Cite potential resources for
providers to deal with Recovery Audit Contractors (RACs).
Course Credit
Deadline for completing the course
is February 22, 2011.
The Massachusetts Medical Society
designates this educational activity for a maximum of 1
AMA PRA Category 1 Credits™. Physicians should only
claim credit commensurate with the extent of their participation in the
activity.
This program meets the criteria of
the Massachusetts Board of Registration in Medicine for risk management
study.
Participants will receive a
confidential report of their examination score. You must receive a score
of 70% or better to receive AMA PRA Category 1
Credit™. A confirmation of credit will be issued at the
end of the course to those who successfully complete the
examination.
This activity has been planned and
implemented in accordance with the Essential Areas and policies of the
Accreditation Council for Continuing Medical Education through the Joint
Sponsorship of the Massachusetts Medical Society and Lawyers Weekly,
Inc.
The Massachusetts Medical Society
is accredited by the Accreditation Council for Continuing Medical
Education (ACCME) to provide continuing medical education for
physicians.
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Course Fees
"Health Care Providers Brace
for Medicare Audits" and all associated course materials are available
free of charge. An opportunity to complete an exam and receive AMA
PRA Category 1 Credit™ for a nominal fee is available at the
end of the course. The course fees are as follows:
Massachusetts Medical Society (MMS)
Member: $10 ($10 per credit)
Non-MMS member: $20 ($20 per
credit)
Disclosure/Commercial Support
The following course content
developers have no financial interests or relationships to disclose.
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Henry Tulgan, MD, FACP
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Reni Gertner, MPH, Editor Lawyers
Weekly
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Sylvia Hsieh, Staff
Writer for Lawyers Weekly
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Kathleen Bellisle, Manager of MMS
Distance Learning
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Thelma Tatten, Program
Coordinator, MMS Distance Learning
Off-label Disclosure:
This course does not include any
discussion of an off-label use of a commercial product or an
investigational use not yet approved for any purpose by the FDA.
Commercial Support
No commercial support was received
for this online program.
Content Disclaimer
The Massachusetts Medical Society
does not take responsibility for the accuracy of the information in this
CME program, which was provided by Lawyers Weekly, Inc. and summarized
by Henry Tulgan, MD, FACP. The views expressed are not necessarily those
of the Massachusetts Medical Society.
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Online Course Developers
Henry Tulgan, MD, FACP
Reni Gertner, MPH, Editor Lawyers Weekly
Sylvia Hsieh, Staff Writer for Lawyers Weekly
Kathleen Bellisle, Manager of MMS Distance Learning
Thelma Tatten, Program Coordinator, MMS Distance Learning
Bibliography
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Hardware & Software Requirements
Supported Browsers
Internet Explorer v.7 or greater (for Windows)
Mozilla Firefox v.2 or greater (for Windows, Mac, Linux)
Minimum System Requirements
Windows Systems Requirements
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A Pentium-based PC or compatible
computer.
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At least 64MB of RAM.
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Windows 95/98/NT/ME/2000/XP/Vista
system software.
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Screen resolution of 1024 x 786
or larger recommended
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PDF Reader: Adobe Reader 5.0 or higher, Foxit Reader 2.0 or likewise.
Mac OS System Requirements
Policies
Contact Us
Contact us at continuingeducation@mms.org
or (800) 322-2303, ext. 7306. Massachusetts Medical Society, 860 Winter
Street, Waltham, MA 02451.
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