Health Information Management

RAC appeals on the rise according to new CMS statistics

HIM-HIPAA Insider, January 13, 2009

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CMS revised its July 2008 RAC appeal update to include appeals statistics through August 31, 2008. According to the update, providers appealed 22.5% of RAC denials. Of all RAC overpayment determinations, only 7.6% were overturned on appeal. Statistics show that prior to the update (and as of June 30, 2008) providers chose to appeal only 19.6% of RAC denials. Only 6.8% were overturned on appeal. Click here to read the most recent appeal update.



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