Health Information Management

RACs using 'semi-automated' claims review

HIM-HIPAA Insider, April 12, 2011

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Providers familiar with automated claims reviews and complex claims reviews by the recovery RACs now face another method of overpayment identification: “Semi-automated” claims review. 

Semi-automated review strays a bit from the automated and complex methods of overpayment identification recognized in the RAC statement of work, but is essentially a hybrid of the two primary techniques.
 
So with this new method, what exactly changes?
 
Click here to read more on the Revenue Cycle Institute website.



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