CMW news: Providers report first RAC denials in Florida, South Carolina
Case Management Weekly, November 18, 2009
Want to receive articles like this one in your inbox? Subscribe to Case Management Weekly!
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
Want to receive articles like this one in your inbox? Subscribe to Case Management Weekly!
Related Products
Most Popular
- Articles
-
- HIPAA Q&A: Flu shot requirement for hospital employees
- Running an effective peer review committee meeting
- HealthDataInsights posts new issues for medical necessity claims
- Sneak Peek: Effort underway to establish caseload benchmarks
- Q/A: Coding for telescopic intraocular lens
- New FAQ posted on storing laryngoscope blades
- Tip: Perform your own internal investigation prior to government audit
- HIPAA 5010 deadline extended, but threat remains, says AMA
- HHS task force: Consider privacy, security with text messages
- What does case-mix index mean to you?
- E-mailed
-
- Running an effective peer review committee meeting
- HIPAA Q&A: Flu shot requirement for hospital employees
- HHS task force: Consider privacy, security with text messages
- What does case-mix index mean to you?
- Q/A: Coding for telescopic intraocular lens
- Q/A: Correct use of modifier -PT
- Tip: Correctly code bilateral pain management procedures
- "Wall fountains" may be spreading Legionnaires to patients, visitors
- 2012 CPT code changes for ASCs: Shoulder and knee scopes and pain management
- Case Management Monthly, March 2012
- Searched
