RAC report casts spotlight on wrong-setting errors
APC Payment Insider, July 1, 2008
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Recovery audit contractors (RAC) have collected huge sums simply by comparing one-day stays with InterQual criteria, a set of measurable clinical indicators that reflect a patient’s need for hospitalization, says Marion Kruse, RN, MBA, a consultant at FTI Consulting in Atlanta. When these stays did not meet InterQual guidelines, RACs requested a repayment.
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