that audit adjustments are made and corrective actions are taken to address identified billing, charging, and documentation... and counterparts at payers as appropriate. Coordinates Recovery Audit Contractor (RAC) audits and direct appeal activity related...
in the filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC, trackers, etc.). Ensure the financial... and development of the pro forma adjustments that are relied upon to support base rate case requests and alternative regulatory...
in the filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC, trackers, etc.). Ensure the financial... and development of the pro forma adjustments that are relied upon to support base rate case requests and alternative regulatory...
support to the Regional Acceptance (RAC) Recovery Department, which may include completing monthly reporting, new charge-off... and according to current policy and procedure Responsible for reviewing repossessions, charge-off, and account changes (i.e. adjustments...
and following up on all payer audit record requests, audit responses and appeals for the CMS Recovery (RAC) Program, CMS Medicaid.../statuses or abuses. Essential Functions Receives, logs and tracks all RAC, MAC, CERT, other Government payer audit...
that supports operational/state business partners in the filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC... the end to end preparation and development of the most complex pro forma adjustments that are relied upon to support base...
that supports operational/state business partners in the filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC... the end to end preparation and development of the most complex pro forma adjustments that are relied upon to support base...
of care plans and make necessary adjustments. Compliance and Quality Assurance: Ensure all MDS documentation meets federal...: Registered Nurse (RN) preferred or Licensed Practical Nurse (LPN) with a valid state license. Certification in MDS (e.g., RAC-CT...
with actionable components and measurable outcomes. Proactively monitors key performance indicators and makes real-time adjustments... job descriptions and performance standards for all job classifications. Develops and lead interactive discussions/education related to RAC compliance...
usage data to forecast sales and revenues to support pro forma adjustments and forecast test year information regarding... filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC, trackers, etc). Ensure the financial support...