CHANGES COMING: Key differences in nationwide rollout
Patient Access Weekly Advisor, October 29, 2008
Want to receive articles like this one in your inbox? Subscribe to Patient Access Weekly Advisor!
Now that you know which Medicare Recovery Audit Contractor (RAC) will come to your facility, it’s time to prepare for some changes. CMS revamped the program after the three-year demonstration project, and providers can expect to see the changes reflected in the nationwide permanent program.
Chief among them are:
RAC medical director
Demonstration RACs: Not required
Permanent RACs: Mandatory
Coding experts
Demonstration RACs: Optional
Permanent RACs: Mandatory
Credentials of reviewers provided upon request
Demonstration RACs: Not required
Permanent RACs: Mandatory
Discussion with CMD regarding claim denials if requested
Demonstration RACs: Not required
Permanent RACs: Mandatory
AC validation process
Demonstration RACs: Optional
Permanent RACs: Limited
External validation process
Demonstration RACs: Not required
Permanent RACs: Mandatory
Editor’s note: For more differences in the permanent program, see the next edition of Patient Access Weekly Advisor Nov. 5, 2008.
Want to receive articles like this one in your inbox? Subscribe to Patient Access Weekly Advisor!
Comments
0 comments on “CHANGES COMING: Key differences in nationwide rollout ”
Related Products
-
Stark Law, 2nd edition: A user's guide to achieving compliance
This updated version of HCPro's Stark Law best seller, first published in 2005—and now co-authored by former CMS Stark...
-
The Medicare Part B Billing Manual for Long-Term Care
This 150-page book breaks down Part B billing into separate revenue streams and includes examples of how to fill out the...
-
Medicare Audits in Long-Term Care: A Guide to MACs, RACs, and ZPICs
This book describes the different types of Medicare audits that nursing homes face and helps you take a proactive approach...
-
Briefings on The Joint Commission
Briefings on The Joint Commission will help you with all of your accreditation and survey preparation needs. Every month...
-
The CMS Survey Coordinator's Handbook
There is no reason to struggle with CMS requirements. HCPro has teamed up with former contracted CMS surveyor Jeff Coleman...
Most Popular
- Articles
-
- HIPAA Q&A: Answering service messages
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q&A: Coding for dry skin due to cold weather
- Q/A: Volume requirement for reporting hydration services
- Are your workforce members texting PHI?
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Privacy, security concerns high in HIEs
- QA:Coding multiple initial infusions
- OB services: Coding inside and outside of the package
- E-mailed
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- HIPAA Q&A: Answering service messages
- HIPAA Q&A: TPO disclosures to a business associate
- Are your workforce members texting PHI?
- Q&A: Coding for dry skin due to cold weather
- Hospitalist-surgeon comanagement has no effect on outcomes
- Don't let these sentinel events trigger falsely
- Correctly bill ancillary bedside procedures in addition to the room rate
- Searched