Q&A: Academic medical center RAC vulnerabilities
Recovery Auditor Report, September 16, 2010
Question:Are academic programs that practice more evidence-based medicine at a lower risk of audit versus community-based hospitals? Is there a difference because the hospital is in an academic setting?
Answer: (Via Michael Taylor, MD, vice president of clinical operations at Executive Health Resources in Newton Square, PA)
From my experience, unfortunately university and academic centers are not protected and one reason to keep in mind is that these are big targets. Universities are performing some of the highest-dollar, cutting edge procedures; and clearly at some of these facilities they’re performing the highest-dollar procedures with a relatively shorter stay than their peers. It stands to reason, and we’ve seen in many cases that universities and academic centers — with a slightly different patient mix — may show up differently on statistical analysis. When those centers are providing care that differs from their peers, they can be targeted for audit.
Related Products
Most Popular
- Articles
-
- Note similarities and differences between HCPCS, CPT® codes
- Practice the six rights of medication administration
- Don't forget the three checks in medication administration
- OB services: Coding inside and outside of the package
- Joint Commission clarifies ligature risk requirements
- What to include on the incident report
- Q&A: Primary, principal, and secondary diagnoses
- 3 ways CNOs can improve workplace culture
- Code diagnoses and outpatient treatment for PTSD
- Complications from immobility by body system
- E-mailed
-
- OB services: Coding inside and outside of the package
- Q: What are the requirements of an agency's professional advisory committee (PAC)?
- Q/A: Reporting L code and CPT code for splinting
- Q&A: Charging for drug administration during urgent care visit
- Prioritize sepsis assessments in your overcrowded emergency department
- Know guidelines and subtle differences in code descriptions for laceration repairs
- Joint Commission clarifies ligature risk requirements
- Food and drink in patient care areas
- Don't bill 59025, 76818 separately without separate physician orders
- Crossing state lines: What are the rules?
- Searched