CGI posts first approved issues for RAC review in Region B
The RAC Report, September 3, 2009
Want to receive articles like this one in your inbox? Subscribe to The RAC Report!
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.
Want to receive articles like this one in your inbox? Subscribe to The RAC Report!
Related Products
Most Popular
- Articles
-
- HIPAA Q&A: Flu shot requirement for hospital employees
- HealthDataInsights posts new issues for medical necessity claims
- Running an effective peer review committee meeting
- Q&A: Incidental disclosures and patient privacy
- New FAQ posted on storing laryngoscope blades
- Sneak Peek: Effort underway to establish caseload benchmarks
- Tip: Perform your own internal investigation prior to government audit
- What does case-mix index mean to you?
- HIPAA 5010 deadline extended, but threat remains, says AMA
- HHS task force: Consider privacy, security with text messages
- E-mailed
-
- Running an effective peer review committee meeting
- HIPAA Q&A: Flu shot requirement for hospital employees
- What does case-mix index mean to you?
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HHS task force: Consider privacy, security with text messages
- Tip: Correctly code bilateral pain management procedures
- 2012 CPT code changes for ASCs: Shoulder and knee scopes and pain management
- COT basics to best
- Documentation and coding for toxic metabolic encephalopathy
- Guidance and tact key to compliant, effective physician queries
- Searched
