Revenue Cycle

CMS raises documentation request limits for certain hospitals

Recovery Auditor Report, March 10, 2011

CMS recently increased the number of medical records that recovery audit contractors (RAC) can request in a 45-day period from hospitals with more than $100 million in annual Medicare payments.

Prior to the change, RACs could request a maximum of 300 records per 45 days from hospitals. Under the new cap, RACs can request up to 500 records per period from hospitals that exceed $100 million in Medicare payments annually, according to the March 2 issue of AHA NewsNow, published by the American Hospital Association (AHA).

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