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
-
- Don't forget the three checks in medication administration
- Practice the six rights of medication administration
- Code diagnoses and outpatient treatment for PTSD
- What to include on the incident report
- Note similarities and differences between HCPCS, CPT® codes
- Complications from immobility by body system
- Q&A: Primary, principal, and secondary diagnoses
- OB services: Coding inside and outside of the package
- Differentiate between types of wound debridement
- Know guidelines and subtle differences in code descriptions for laceration repairs
- E-mailed
-
- New workplace violence training program focuses on healthcare settings
- Learn how one facility reduced bed turnaround time by 76%
- Improve meeting minutes with these seven tips
- Fracture coding in ICD-10-CM requires greater specificity
- Don't forget the three checks in medication administration
- Dig into the details of wound care documentation
- Correctly code for new cardiac, pulmonary rehab benefits
- Complications from immobility by body system
- CMS and AMA documentation guidelines for E/M codes don't always agree
- Clinically Speaking: Check CDI efforts related to functional quadriplegia
- Searched
-
- physicians order
- Which of the following care is included an anti pa
- consent to treat
- Start full practice authority at VHA
- CCDS practice exam
- documentation
- Benefits of ambulation part 2
- Changes to the 2008 ANCC Magnet Recognition Progra
- Karen Kondilis medical staffing briefing
- 3D virtual simulation effective in cardiac care
