Corporate Compliance

Other Issuances: CMS delays CAH supervision enforcement, RAC updates audit issues, and more

Medicare Insider, March 23, 2010

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Region B RAC updates issues

CGI Federal, the RAC for Region B, continues to update its list of approved audit issues.

View the updated list of CMS-approved issues.

CMS delays enforcement of physician supervision in CAHs

On March 15, CMS issued a notice to Congress that it had instructed its contractors not to evaluate or enforce the supervision requirements for therapeutic services provided to outpatients in critical access hospitals (CAHs) for the duration of calendar year 2010.

View the CMS notice.

OIG audits oxaliplatin billing

On March 2, the OIG released a report on oxaliplatin billing at University of Arkansas for Medical Sciences Medical Center during 2005. The OIG determined that the facility billed for 10 times the number of units of oxaliplatin that was actually administered and received overpayments totaling $225,000 for the 11 outpatient claims.

View the OIG report.

Frequently asked question

CMS has posted a new RAC frequently asked question:

What is the difference between the Recovery Audit Contractor (RAC) discussion period and the Rebuttal and Redetermination process?

Read the answer.



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