Radiology Providers, including Independent Diagnostic Testing Facilities (IDTFs)
Radiology Providers and Independent Diagnostic Testing Facilities (“IDTFs”) Subject to RAC Audits
Our attorneys represent and counsel radiology providers, including physician groups and independent diagnostic testing facilities (“IDTFs”), in all aspects of healthcare law, including with regard to Recovery Audit Contractor (“RAC”) and other Medicare audits.
The permanent RAC program has been operating nationwide since 2010 after completion of a demonstration program which the Centers for Medicare & Medicaid Services (“CMS”) deemed to be successful based upon the large number of alleged overpayment errors identified. Radiology providers, including Independent Diagnostic Testing Facilities (“IDTFs”) are at risk for an audit and should prepare now for increased scrutiny of their Medicare claims.
Compliance risk areas for radiology providers, including IDTFs, include the following:
- Maintaining appropriate documentation and medical records;
- Increasing scrutiny of radiology procedures, such as ultrasound procedures; and
- Evaluation and management services billed the same day as a radiological procedure;
Wachler & Associates, P.C., has represented providers, suppliers and other healthcare entities subject to Medicare audits and claim denials for over 25 years. During the RAC demonstration program, and continuing into the permanent RAC program, our firm has successfully represented radiology providers and other provider/suppliers with their appeals of claim denials and overpayment determinations.
The attorneys at Wachler & Associates often write articles addressing issues that affect hospice and home health agencies. Please visit our Audit Articles page to view a list of Wachler & Associate's audit articles.
The attorneys of Wachler & Associates often speak on audit issues that affect hospice and home health agencies. Please visit our Audit Speaking Engagements page to view a list of Wachler & Associate's audit speaking engagements.
Call us at (248) 544-0888 or send us an e-mail to schedule a meeting to discuss your concerns with RACs or to discuss your other healthcare law-related needs.