News: RACTrac report finds hospitals appeal 50% of denials
CDI Strategies, June 19, 2014
Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!
Of all the Recovery Auditor denials, hospitals reported appealing about 50% with more than a 50% success rate—it’s 50/50 game that hospitals cannot afford to not play, according to the American Hospital Association’s recent RACTrac report.
The report also shows short-stay medical necessity denials continuing as a Recovery Audit focus area for 59% of hospitals. Facilities reported that 66% of short-stay denials were due to care provided in the wrong setting, not because the care wasn’t warranted.
Hospital representatives are invited to attend a June 24 webinar to review recent RAC policy developments and results from the survey.
Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!
Related Products
-
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
- Articles
-
- Learn documentation requirement for critical care coding in the ED
- Practice the six rights of medication administration
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- OB services: Coding inside and outside of the package
- Q&A: Primary, principal, and secondary diagnoses
- Skills of effective case managers
- Neurological checks for head injuries
- The consequences of an incomplete medical record
- Know guidelines and subtle differences in code descriptions for laceration repairs
- E-mailed
-
- Medical record committee protocol
- Q&A: Accessing your own information
- Insider's scoop | Proper coding for depression
- Get to the heart of cardiac catheterization coding
- Expirations on standing orders
- Coding tip: Learn types and names of bunion procedures, part 2 of 2
- CMS and AMA documentation guidelines for E/M codes don't always agree
- Clinical Corner: Revisiting respiratory failure
- Can we accept orders from a physician?s secretary or office nurse who is communicating with us instead of the physician?
- ASK THE EXPERT
- Searched
