Q&A: RACs and critical access hospitals
Patient Financial Services Weekly Advisor, April 3, 2009
Q: How will the RAC audits affect critical access hospitals (CAH) seeing as they are paid on a per diem of charges rather than an MS-DRGs? Also, how can CAHs prepare themselves for RAC?
A: According to a November 12, 2008 conference call with CMS, when the cost report is still open, retractions will be part of the settlement. When the cost report is closed, CMS will offset the retractions.
CAHs should be preparing for RAC just like the larger institutions, going through the same preparation steps but on a smaller scale. They are not exempt from RAC.
Editor’s note: This Q&A was answered by Tanja Twist, MBA/HCM, director of Patient Financial Services for Methodist Hospital in Arcadia, CA.
Related Products
-
Avoidable Day Analyzer
Discover why avoidable hospitalization days occur, who's responsible for them, and how to tackle the problem head on with...
-
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...
-
Combat RAC Denials: Strategies for Successful Appeals
During this 90-minute audio conference, our speakers provide step-by-step procedures, timelines, tools, and best practices...
-
The RAC Toolkit for Physician Practices
The RAC Toolkit for Physician Practices is your practice’s answer to turning plans into proactive action for RAC success...
-
Transitions of Care: Strategies for Successful Programs
Two experts in the field share the dynamics of transition management from a regulatory and practical perspective.
Most Popular
- Articles
-
- CMS seeks comment on quality measures
- Don't forget the three checks in medication administration
- Practice the six rights of medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Q&A: Primary, principal, and secondary diagnoses
- Skills of effective case managers
- OB services: Coding inside and outside of the package
- Implications of CMS Changes to H&P Requirements
- Ensuring clear and concise documentation critical for case managers
- Know the medical gas cylinder storage requirements
- E-mailed
-
- CMS, CDC Create Provider Payment for COVID-19 Counseling
- Correctly code for new cardiac, pulmonary rehab benefits
- Tip: Coding pressure ulcers in ICD-10-CM
- Q/A: Revenue codes for drug charges
- Q&A: Bill blood administration the same way for inpatient and outpatient accounts
- Know the medical gas cylinder storage requirements
- Injections and infusions continue to confuse coders
- Ensuring clear and concise documentation critical for case managers
- Distinguish between revenue codes 637, 250 for SADs
- Coding Clinic for CDI:Reassessing debridement documentation
- Searched
