Health Information Management

CMS publishes 2011 RAC ADR limits for providers

HIM-HIPAA Insider, November 23, 2010

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CMS has modified the additional documentation request (ADR) limits (i.e., medical record request limits) for the RAC program in 2011, according to document posted November 10 on the CMS RAC website. The limit is based on the number of claims submitted during the previous calendar year.

In addition, there is a cap of 300 records per 45 days for all providers except physicians and suppliers, as of November 2, 2010.

Click here to view the 2011 ADR limits for hospitals and other facilities.

Click here to view the 2011 ADR limits for suppliers.



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