Preparing for Recovery Audit Contractors
So far this fiscal year, Medicare Recovery Audit Contractors (RACs) have collected over $400 million in overpayments.
As more of our members receive letters from RACs, MGMA Government Affairs developed this program to help guide you through those first crucial steps and to help you prepare to meet the auditors’ tight deadlines.
Seasoned RAC attorney Ron Connelly and MGMA Government Affairs Counsel Amy Nordeng will help demystify the process so you’re better prepared to respond and appeal to the RACs.
Following this 90-minute Webinar, you will be able to
- Understand the RAC program and the issues it’s targeting
- Know the next steps to take after receiving a RAC letter
- Learn the appeals process
Ronald S. Connelly, Principal, Powers, Pyles, Sutter and Verville
Ronald Connelly is a principal of the firm. His practice encompasses a variety of healthcare issues, including Medicare and Medicaid litigation and advising clients regarding federal and state health care regulations. Mr. Connelly’s experience includes graduate medical education, Medicare coverage determinations, disproportionate share hospital payments, and the Medicare wage index.
Before practicing law, Mr. Connelly was a financial analyst for academic medical centers. Mr. Connelly advised hospital management and clinicians regarding hospital profitability, cost accounting, budget variances, labor productivity, revenue projections, and payer and service mix trends.
Mr. Connelly received his JD, cum laude, from Georgetown University Law Center. Mr. Connelly graduated cum laude from the University of Washington with Bachelor of Arts degrees in China Studies and History.
He subsequently earned a Bachelor of Fine Arts degree in Photography from the University of Washington. Mr. Connelly is admitted to the bars of the District of Columbia and Maryland.
Powers Pyles Sutter & Verville is a Washington, DC-based law firm that focuses on health care, education and the law of tax-exempt organizations.
Amy E. Nordeng, JD, Government Affairs Counsel
Amy's duties include representing MGMA before Congress, executive agencies and coalition groups on a variety of issues, including the federal physician self-referral (Stark) law, the federal antikickback statute, imaging and ambulatory surgery centers. She also facilitates MGMA's Imaging Workgroup.
Amy joined MGMA in 2006. Prior to joining MGMA, Amy was an attorney in private practice representing health care providers. She practiced in the San Diego office of Sheppard Mullin Richter & Hampton LLP, representing physician practices and other providers in contracting and compliance matters. She has also worked with the Washington, D.C., firm of Powers Pyles Sutter & Verville, assisting a variety of providers with their reimbursement and regulatory concerns. During that time, she co-authored the MGMA publication "Understanding Compliance: A Program Guide Based on the OIG 2000 Guidance."
Before practicing law, Amy worked as a legislative assistant for Sen. Kent Conrad from her home state of North Dakota.
Amy earned her law degree from the University of Michigan Law School, Ann Arbor, Mich., and her bachelor's in politics and women's studies from Oberlin College, Oberlin, Ohio.