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Category: RAC Audits

by Admin0 CommentsClearinghouse

42% of Post-hoc Denials Come from Aetna: The Top Reasons Revealed

If you bill Aetna for spine, joint, or orthopedic procedures, you have likely seen this before. The surgery happens. The claim goes out. Weeks later, a denial letter arrives

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RAC Audits in Medical Billing
by Admin0 CommentsRAC Audits

RAC Audits in Medical Billing: How to Remain Compliant and Prevent Costly Medicare Paybacks

Every healthcare provider fears that one email—“You’ve been selected for a RAC audit.” If you’ve been there, you know the stress. Suddenly, your billing records are under a microscope.

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