Corporate Compliance

Watch for potential RAC trickle-down effect

Medicare Insider, October 21, 2008

I taught a Medicare course in Chicago last week. One of the course participants from California (which was one of the three initial RAC demonstration states) raised an interesting question. She noted that, in California, the RAC had identified a number of inpatient claims where, according to the RAC, the patient did not qualify for an inpatient level of care. She explained that she was concerned about the potential “trickle down effect” on SNFs if the inpatient stay that preceded a SNF admission was retroactively denied.

Post a Comment





Please enter your comment below:


Please enter the text below:


Most Popular