CMW news: CMS answers providers' RAC questions
Case Management Weekly, June 17, 2009
Want to receive articles like this one in your inbox? Subscribe to Case Management Weekly!
CMS has been providing information on recovery audit contractors (RAC) to healthcare providers in RAC outreach programs and during Open Door Forum calls. And now the agency is also publishing RAC questions and answers on its Web site.
In the past week, CMS has answered or updated answers to 15 questions. Examples include:
- What is the reimbursement procedure and rate for photocopy charges associated with records for RAC audits?
- How will the RACs determine which claims to review? Whose claims will be reviewed under the RAC program?
- Under what circumstances can a RAC make a finding that an overpayment or underpayment exists without requesting medical records?
CMS seems to be making an effort to share RAC information that providers need to know. For the complete list of questions and answers, visit the CMS Web site.
Sources: HealthLeaders Media, Centers for Medicare & Medicaid Services
Want to receive articles like this one in your inbox? Subscribe to Case Management Weekly!
Related Products
-
Briefings on The Joint Commission
Briefings on The Joint Commission will help you with all of your accreditation and survey preparation needs. Every month...
-
PPS Alert for Long-Term Care
Looking for a tool to make your job easier? PPS Alert for Long-Term Care, exclusively for the RN or MDS coordinator, is your...
-
Case Management Monthly
This newsletter offers case studies, best practices, and how-to analysis to help case managers move patients through the...
-
Medicare Audits in Long-Term Care: A Guide to MACs, RACs, and ZPICs
This book describes the different types of Medicare audits that nursing homes face and helps you take a proactive approach...
-
The RAC Toolkit for Physician Practices
The RAC Toolkit for Physician Practices is your practice’s answer to turning plans into proactive action for RAC success...
Most Popular
- Articles
-
- HIPAA Q&A: Flu shot requirement for hospital employees
- HealthDataInsights posts new issues for medical necessity claims
- Running an effective peer review committee meeting
- Q&A: Incidental disclosures and patient privacy
- New FAQ posted on storing laryngoscope blades
- Sneak Peek: Effort underway to establish caseload benchmarks
- Tip: Perform your own internal investigation prior to government audit
- What does case-mix index mean to you?
- HIPAA 5010 deadline extended, but threat remains, says AMA
- HHS task force: Consider privacy, security with text messages
- E-mailed
-
- Running an effective peer review committee meeting
- HIPAA Q&A: Flu shot requirement for hospital employees
- What does case-mix index mean to you?
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HHS task force: Consider privacy, security with text messages
- Tip: Correctly code bilateral pain management procedures
- Code changes should help ease the pain when coding for facet joint injections
- 2012 CPT code changes for ASCs: Shoulder and knee scopes and pain management
- COT basics to best
- Documentation and coding for toxic metabolic encephalopathy
- Searched