Corporate Compliance

Note: Florida RAC Reviews See a New Issue Emerge

Medicare Weekly Update, August 25, 2009

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Editor’s note: Debbie Mackaman, RHIA, CHCO, regulatory specialist for HCPro, Inc., is the author of this week’s note from the instructor.

Connolly Healthcare, the recovery audit contractor (RAC) for Region C, posted its CMS approved audit issues list for Florida last week. Connolly had previously posted its issues list for South Carolina; however, when comparing the lists between the two states, there is a slight difference. Although bronchoscopy services were approved for South Carolina, this issue has not been approved for Florida.

In contrast, a new issue has made its way to the audit list for Florida. Clinical social worker (CSW) services provided during an inpatient stay at a hospital or a skilled nursing facility (SNF) are not separately payable under Medicare Part B.

Click over to the MedicareMentor Blog to read more.

 



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