Health Information Management

Connolly posts issues for review in Florida: Issues differ between region C states

HIM Connection, August 25, 2009

Want to receive articles like this one in your inbox? Subscribe to HIM Connection!

Connolly Healthcare, the RAC for region C, has now posted issues for review in Florida, including one issue not yet approved for other locations. 

Similar to South Carolina, RACs may now audit providers in Florida on the following five issues: 

  • Untimed codes
  • IV hydration therapy
  • Once in a lifetime procedures
  • Pediatric codes exceeding age parameters
  • J2505: Injection, Pegfilgrastim, 6 mg
  • Blood transfusion

Note that CMS has not approved bronchoscopy services audits at this time for Florida providers.

 However, CMS has approved the following new issue: 

  • Clinical social worker (CSW) services.
  • CSW services rendered during an inpatient hospital stay are not separately payable under Medicare Part B; they are included in the facility’s prospective payment system (PPS) payment. CSW providers are expected to seek reimbursement from the facility.

Connolly has not yet posted approved issues for other states and territories in the region, including Alabama, Arkansas, Georgia, Louisiana, Mississippi, North Carolina, New Mexico, Oklahoma, Tennessee, Texas, West Virginia, as well as Puerto Rico and the U.S. Virgin Islands.

For more RAC news, click here. 



Want to receive articles like this one in your inbox? Subscribe to HIM Connection!

    Briefings on The Joint Commission
  • Briefings on The Joint Commission

    Briefings on The Joint Commission will help you with all of your accreditation and survey preparation needs. Every month...

  • PPS Alert for Long-Term Care

    Looking for a tool to make your job easier? PPS Alert for Long-Term Care, exclusively for the RN or MDS coordinator, is your...

  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • Medical Records Briefing

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentaion can lead to denial of fees, payback, fines, and increased diligence from payers...

Most Popular

Related Articles