Navigation Links
Cain and Associates Launches Government Audit Protection (GAP) Service
Date:1/14/2009

Innovative Service Helps Hospitals and Health Systems Reduce the Likelihood of an Audit from a Medicare or Medicaid Recovery Audit Contractor

PHOENIX, Jan. 14 /PRNewswire/ -- Arizona-based Cain and Associates (C&A) (http://www.cainandassociates.com) today announced the launch of its new Government Audit Protection (GAP) service. GAP was specifically created as a pre-review process to assist hospitals and health systems minimize compliance and financial risks in light of new government Medicare and Medicaid recovery audit contractor programs. The initial and best known of which is the Recovery Audit Contractor (RAC) program. RAC began on October 6 in 19 states, and will be implemented in all 50 states by 2010. The RAC program concentrates on Medicare payments and allows third-party auditors to keep from 9.4% to 12.4% of payments identified as improper and then collect them from providers.

"Hospital executives must be proactive in this difficult regulatory climate and GAP is a perfect vehicle for self-auditing," notes C&A CEO Scott Cain. "In the initial audit test cases performed by RAC in California, Florida and New York in 2006 and 2007, almost $11 billion in faulty billings were uncovered. It's essential for providers to identify claims that were improperly paid, make voluntary refunds for payment and communicate the claims numbers to the carriers."

Centers for Medicare and Medicaid Services (CMS) is now mandated to vigorously collect overpayments and aggressively seek out provider fraud. According to CMS, most overpayments are due to "lack of medical necessity" and lack of documentation. The goals of the initiative are to identify past improper payments and recoup overpayments in the Medicare FFS program, as well as helping to prevent future improper payments thereby lowering the Medicare FFS error rate.

According to Cain, hospitals and physician practices are at risk for a potential audit. This includes hospitals, hospital administrators, subcontractors, physicians and consultants. GAP works to assess the company's exposure, and C&A will also work with groups in the appeals process if they have already been audited.

"GAP is one of the only services in the country with the ability to safeguard every group affected across the board and ensure compliance with RAC (Medicare) and MIC (Medicaid) audits," adds Cain. "As with all of our services, we are not a cost center, but rather, a benefit - we charge a minimal fee per account file reviewed or per bill appealed."

Cain and Associates takes technology and applies it to information to create revenue opportunities for hospitals. C&A's GRIP product insures that patients who are eligible for Medicaid coverage are identified. CORE uses proprietary data mining techniques and network access to capture commercial insurance eligibility information that generates additional funds for each hospital. In 2000, Cain and Associates began working with hospitals to execute their innovative services. So far, the firm has recovered over $20 million in lost revenue for their clients. C&A accomplishes this with proprietary software and consultation to perform the industry's deepest data querying and analysis.

Cain and Associates, LLC (C&A) creates revenue opportunities for hospitals through proprietary technology and information gathering techniques. They have saved hospitals millions of dollars serving clients in New York, Virginia, Maryland, South Carolina, Ohio and Kentucky. For more information, please visit www.cainandassociates.com or call (800) 817-2148.

Cain and Associates: The Business of Health Care


'/>"/>
SOURCE Cain and Associates
Copyright©2009 PR Newswire.
All rights reserved

Related biology technology :

1. Dr. John Stephen Osika, HIV/AIDS and Infectious Disease Expert, Joins Abt Associates
2. Norton & Associates Inc. Adds $3bnUSD Commercial Real Estate Investment P & L Management Holding Group; US Property Portfolio Inc.
3. Kornberg Associates Architects Opens Tokyo Office
4. Crystal Research Associates, LLC Issues Executive Informational Overview(R) (EIO(R)) on The Medical House PLC
5. Newly Integrated Software Suite From ZS Associates Offers Comprehensive Set of Sales Performance Management Software Solutions
6. Core Laboratories Joint Venture Agreement Between genae associates, VIBGYOR Scientific Research, Cardiovascular Center Aalst and J.B. Dahm
7. BioMS Medical to present at Sachs Associates Biotech in Europe Forum
8. Crystal Research Associates, LLC Issues Executive Informational Overview(R) (EIO(R)) on Generex Biotechnology Corporation
9. Abt Associates Ranked One of Top 20 U.S. Market Research Firms
10. Second Quarter Health Care M&A Strongest In Years According To New Report From Irving Levin Associates, Inc.
11. ARUP Laboratories Partners With Pathology Service Associates
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/29/2016)... (PRWEB) , ... April 29, 2016 , ... ... the necessary fundamentals to transform technology into a viable company, CereScan’s CEO, John ... Mr. Kelley, a recognized leader and mentor in the Denver area business ...
(Date:4/28/2016)... NEW YORK , April 28, 2016 /PRNewswire/ ... biotechnology acceleration company reports the Company,s CEO  was ... capital titled Accelerators Enter When VCs Fear To ... Life Science Leader magazine is an ... work for everything from emerging biotechs to Big ...
(Date:4/27/2016)... ... ... Cambridge Semantics, the leading provider of Smart Data analytic and data management ... The Silicon Review’s “20 Fastest Growing Big Data Companies of 2016.” , “From ... end users facing some of the most complex data challenges in the industry,” said ...
(Date:4/27/2016)... and RESEARCH TRIANGLE PARK, N.C. ... UTHR ) announced today that Martine ... United Therapeutics will provide an overview and update on ... Annual Health Care Conference. The presentation ... 10:00 a.m. Eastern Time, and can be accessed via ...
Breaking Biology Technology:
(Date:3/10/2016)... , March 10, 2016 ... market research report "Identity and Access Management Market by ... Compliance, and Governance), by Organization Size, by Deployment, by ... published by MarketsandMarkets, The market is estimated to grow ... Billion by 2020, at a Compound Annual Growth Rate ...
(Date:3/9/2016)... March 9, 2016 This BCC Research report ... of the RNA Sequencing (RNA Seq) market for the ... instruments, tools and reagents, data analysis, and services. ... of the RNA-Sequencing market such as RNA-Sequencing tools and ... main factors affecting each segment and forecast their market ...
(Date:3/9/2016)... 9, 2016  Crossmatch ® , a leading ... today announced the addition of smart features to ... multi-factor authentication platform. New contextual and application-specific authentication ... security where it,s needed most — while minimizing ... . --> Washington, DC ...
Breaking Biology News(10 mins):