Internal Medicine: Open Access
Open Access
ISSN: 2165-8048
ISSN: 2165-8048
Deepak Pahuja
Aerolib Healthcare Solutions, USA
Keynote: Intern Med
Hospitals have been rocked by their audits with recoveries (according to CMS data) reaching $3.6 billion since the national RAC program started in 2010. About $895 million was reclaimed from just 6 states during the RAC Demonstration Project between 2005 and 2008. HDI, the Region D RAC recently exceed $1 billion in recoveries. While hospitals have been the major RAC target so far, the auditors are now going after physician practices. This is big news not only for medical practices but to hospitals, which have been buying up physician practices as they prepare for new integrated structures that they expect to need in order to prosper in the post Affordable Care Act world. This presentation will talk about the basics of healthcare auditing and how the relations are developed that affect hospitals and patients. The presentation will discuss the various compliance agencies, the introduction of RACs, new CMS initiatives with payment reform and how all this affects patients. Our goal is to educate the participants on the on how the various parts are interconnected to each other.
Deepak Pahuja is the Chief Medical Officer of Aerolib Healthcare Solutions, a firm specializing in regulatory compliance and physician documentation improvement. The firm emphasizes the importance of documentation in the patient record by all participants in the process: Triage, emergency room, attending physician, consultants and nursing staff