Health Information Management

News: Revenue Cycle Institute posts '2011 Recovery Auditor Benchmarking Report'

CDI Strategies, March 1, 2012

Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!

More than 400 individuals responded to the “2011 Recovery Auditor Benchmarking Survey” issued by the Revenue Cycle Institute, with more than 80% indicating their facility had received medical record requests for semi-automated or complex reviews over the course of 2011. The increased activity corresponded to an increase in Recovery Auditor recoupment, responses indicate, with only 6% of providers reporting they received record requests but were unscathed by recoupments.

The Recovery Auditors continued emphasis on inpatient medical necessity led to more than 50% of respondents working with case management to tighten utilization review (UR) controls. In fact, 87% of respondents indicate they have an active UR committee, and more than 50% have a UR representative involved in medical necessity determinations on a daily basis.



Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!

    Briefings on APCs
  • Briefings on APCs

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

  • HIM Briefings

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

  • Briefings on Coding Compliance Strategies

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

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular