Recent RAC activity
Recovery Auditor Report, January 26, 2012
DCS Healthcare added 25 new issues for medical necessity claims to its CMS-approved list for providers in Connecticut, Delaware, the District of Columbia, Maine, Massachusetts, New Jersey, New York, New Hampshire, Pennsylvania, Vermont, and Rhode Island.
View the issues from January 17.
View the issues from January 23.
CGI added two new issues for DRG validation claims to its CMS-approved list for providers in all Region B states.
View the issues from January 20.
Connolly Healthcare added two new issues across two categories—one for outpatient hospital – unspecified claims and one for physician claims—to its CMS-approved list for providers in Region C states. (See link for individual state applicability.)
View the issues from January 20.
Related Products
-
Core Skills for Hospital Case Managers:
A guide to fundamental case management responsibilities, Core Skills for Hospital Case Managers serves as a training...
-
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...
-
The 2013 Medicare Compliance Forum: Las Vegas, NV
-
Level of Care Determinations for 2014: Las Vegas, NV
Attend the half-day seminar, Outpatient, Observation or Inpatient? Continuing to Walk the Tightrope of Regulatory Guidance...
-
OPPS and IPPS Reimbursement Fundamentals: Las Vegas, NV
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on October 2nd in Las Vegas. Learn how CMS’ substantial...
Most Popular
- Articles
-
- CMS seeks comment on quality measures
- Practice the six rights of medication administration
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Nursing responsibilities for managing pain
- CMS creates web portal for questions about 1135 waivers, PHE
- Q&A: Primary, principal, and secondary diagnoses
- ICD-10-CM coma, stroke codes require more specific documentation
- OB services: Coding inside and outside of the package
- The consequences of an incomplete medical record
- E-mailed
-
- Coronavirus vaccination: 4 best practices for communicating with patients
- Q&A: Pressure ulcer POA code confusion resolved
- Neurological checks for head injuries
- Keyes Q&A: Generator lighting, fire dampers, eyewash stations, ISLM fire drills
- Including 46600 in E/M leveling systems
- How to get reimbursed for restorative nursing
- Fetal non-stress tests represent important part of maternal and fetal health
- Coding, billing, and documentation tips for teaching physicians, interns, residents, and students
- Coding tip: Know how to correctly code each procedure an otolaryngologist can perform on turbinates
- Coding Clinic reiterates guidelines for provider documentation
- Searched