RACs are headed your way
Health Care Auditing Strategies, December 1, 2007
This is an excerpt from a member only article. To read the article in its entirety, please login.
One rehabilitation hospital in California offers a glimpse of what might be your future: It has two full-time staffers handling nothing but the appeal of recovery audit contractor (RAC) decisions.
Not every facility needs what Patricia Blaisdell half-jokingly calls a "RAC appeals department." Still, compliance and auditing professionals across the country should prepare for the arrival of the RAC program, which the CMS plans to roll out nationwide in the next two years.
"CMS' work is incredible," says Blaisdell, vice president of medical rehabilitation services and continuing care for the California Hospital Association in Sacramento, CA.
Others can learn from the experience of providers already complying with RAC information requests and, in some cases, challenging RAC decisions. There are huge financial and operational implications for just about every hospital in the country.
This is an excerpt from a member only article. To read the article in its entirety, please login.
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Compliance Monitor
This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...
-
Medicare Weekly Update
Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...
-
Medicare Update for Physician Services
Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician...
Most Popular
- Articles
-
- HIPAA Q&A: Level of encryption needed for email
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Identify potential Medicaid RAC target areas
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Q&A: Acute respiratory failure diagnosis does not require intubation
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- Oxygen Cylinder Storage Requirements
- Q&A: Acute respiratory failure diagnosis does not require intubation
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- Catch up on what's new with injections and infusions
- Hospitals are not bound by InterQual criteria for determining patient status
- Searched