CGI posts first approved issues for RAC review in Region B
Recovery Auditor Report, September 3, 2009
Region B, get ready. RACs may begin auditing at any time in several Region B states.
CGI Federal, the RAC for Region B, has posted its first set of issues eligible for RAC audits in Indiana, Michigan, and Minnesota.
The approved issues target outpatient hospital and physician claims and correspond with those approved for many states in RAC regions C and D that were posted over the past few weeks:
- Blood Transfusions. Blood transfusions should be billed with a maximum of one unit per patient per date of service.
- IV-Hydration. IV-Hydration should be billed with a maximum of one unit per patient per date of service.
- Bronchoscopy Services. Bronchoscopy services should be billed with a maximum of one unit per patient per date of service.
CGI provides additional information about each issue on its Web site, including claim types and codes affected, and whether it is looking for over- and/or underpayments. For these three issues, CGI is looking solely for overpayments.
Indiana, Michigan, Minnesota are the three “yellow” region B states where RAC audits were scheduled to begin first. The remaining states in the region, Wisconsin, Illinois, Kentucky, and Ohio, were part of the second wave of “blue” states that were scheduled to begin after August 1.
The CGI Web site also has sample letters, FAQs, and other information providers in the region may find helpful.
Related Products
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
- Q&A: Primary, principal, and secondary diagnoses
- Skills of effective case managers
- OB services: Coding inside and outside of the package
- Neurological checks for head injuries
- The consequences of an incomplete medical record
- Ensuring clear and concise documentation critical for case managers
- E-mailed
-
- Medical record committee protocol
- MRSA in homecare: What is MRSA and how can it be prevented?
- Insider's scoop | Proper coding for depression
- Guidance for proper use of Category III CPT codes
- 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?
- Searched
