Recent RAC Activity
Recovery Auditor Report, April 15, 2010
CGI adds two new issues for medically unlikely edits (outpatient and professional)
- Previous description: An improper payment occurs when two separate acute hospital claims are paid for a Medicare beneficiary who is discharged and re-admitted on the same day and for the same DRG and there is no B4 condition code on the second claim
- New description: An improper payment occurs when two separate acute hospital claims are paid for a Medicare beneficiary who is discharged and re-admitted on the same day and for the same DRG and there are no B4 or 42 condition codes on the second claim.
Stay on top of these issues by visiting the HDI Web Site.
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...
-
Cardiac Catheterization and Peripheral Revascularization
As part of the 2011 CPT update, the AMA overhauled the cardiac catheterization codes and peripheral revascularization codes...
-
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...
-
Mastering the Three-Day Payment Window
During this 90 minute audio conference our expert speaker, Kimberly Anderwood Hoy provides a brief history of the rule...
-
Facility vs. professional coding challenges
During this 90-minute audio conference, Kimberly Anderwood Hoy, JD, CPC, and Peggy Blue, MPH, CPC, CCS-P, will explain how...
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Nursing responsibilities for managing pain
- Steps for maintaining patient privacy
- Note similarities and differences between HCPCS, CPT® codes
- Practice the six rights of medication administration
- Poor documentation: The consequences
- Q&A: Primary, principal, and secondary diagnoses
- Know guidelines and subtle differences in code descriptions for laceration repairs
- The consequences of an incomplete medical record
- Neurological checks for head injuries
- E-mailed
- Searched