Case Management

CMW news: Providers report first RAC denials in Florida, South Carolina

Case Management Weekly, November 18, 2009

Healthcare providers are starting to share their interactions with recovery audit contractors (RACs).
 
One South Carolina hospital reported three claim denials. However notification apparently was less than ideal, at least from the hospital’s perspective. In late October, the hospital received a call from Connolly Healthcare, the Region C RAC for South Carolina and several other states, regarding a denial letter. Despite Connolly’s claim that it sent the letter in early August,  the hospital denied receiving it.  
 
Connolly reportedly sent the hospital a new letter. The total take-back was less than $200.
 
Source: HealthLeaders Media

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