Health Information Management Articles by Topic: Recovery Audit Contractors
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JustCoding News: Inpatient, Issue 44, October 28, 2009
CMS has now approved issues for RAC auditing in all states. HealthDataInsights announced earlier...
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HIM Connection, Issue 40, October 6, 2009
Inpatient hospitals, inpatient rehabilitation facilities, skilled nursing facilities, and hospice...
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JustCoding News: Inpatient, Issue 40, September 30, 2009
On September 21, DCS Healthcare posted its first CMS-approved issues for audits in Region A. The...
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HIM Connection, Issue 38, September 22, 2009
DCS Healthcare has released its first CMS-approved issues for audits in Region A.
The three...
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JustCoding News: Inpatient, Issue 38, September 16, 2009
On September 10, Connolly, the RAC for Region C, approved the following issues for review for...
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Medical Records Briefing, Issue 9, September 1, 2009
The final phase of the national Recovery Audit Contractor (RAC) rollout began last month, and...
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Medical Records Briefing, Issue 9, September 1, 2009
This month’s issue covers a wide variety of topics of interest to HIM directors. Our cover...
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Briefings on Coding Compliance Strategies, Issue 9, September 1, 2009
In this issue, we dissect the final 2010 IPPS rule, plus discuss the three new NCDs for never...
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Briefings on Coding Compliance Strategies, Issue 9, September 1, 2009
Our experts help interpret CMS’ national coverage determinations, which include...
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HIM Connection, Issue 35, September 1, 2009
For many providers, self-auditing has become an important RAC preparation tool. Certainly, internal...
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HIM Connection, Issue 35, September 1, 2009
Region B, get ready. RACs may begin auditing at any time in several Region B states. CGI Federal...
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HIM Connection, Issue 34, August 25, 2009
Connolly Healthcare, the RAC for region C, has now posted issues for review in Florida, including...
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HIM Connection, Issue 33, August 18, 2009
HealthDataInsights, Inc. launched its new RAC Web site, and posted the first set of issues eligible...
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HIM Connection, Issue 32, August 11, 2009
Heads up, healthcare providers: Connolly Healthcare, the RAC for Region C, has posted the first set...
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HIM Connection, Issue 27, July 7, 2009
CMS released further information June 24 on its RAC Web site letting healthcare providers know when...
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Briefings on Coding Compliance Strategies, Issue 7, July 1, 2009
The job of the recovery audit contractors (RAC) is twofold: Identify overpayments to recoup excess...
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Briefings on Coding Compliance Strategies, Issue 7, July 1, 2009
In August, the recovery audit contractor (RAC) program will extend to all states nationwide. In...
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Briefings on Coding Compliance Strategies, Issue 7, July 1, 2009
The transition to ICD-10 and preparing for recovery audit contractors are two big issues for...
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Medical Records Briefing, Issue 7, July 1, 2009
How many record requests can HIM directors expect to receive now that the permanent Recovery Audit...
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Medical Records Briefing, Issue 7, July 1, 2009
This month’s expanded issue includes our 4-page quarterly insert about electronic health...
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HIM Connection, Issue 25, June 23, 2009
How many record requests can HIM directors expect to receive now that the permanent Recovery Audit...
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HIM Connection, Issue 23, June 9, 2009
CMS anticipates Recovery Audit Contractor (RAC) automated reviews will begin in late June and July...
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HIM Connection, Issue 22, June 2, 2009
CMS released four new and updated RAC FAQ on May 19. The FAQ range from the broad ("Why is CMS...
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Briefings on Coding Compliance Strategies, Issue 6, June 1, 2009
During its most recent Open Door Forum, held May 6, CMS discussed several inpatient-related topics...
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HIM Connection, Issue 21, May 26, 2009
CMS released a RAC FAQ April 29 with important news that may have previously flown under the radar...
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HIM Connection, Issue 19, May 12, 2009
Q: I’ve heard that the American Hospital Association (AHA) will be tracking the effects of...
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HIM Connection, Issue 19, May 12, 2009
During the three-year RAC demonstration project, payment for several inpatient debridement...
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Briefings on Coding Compliance Strategies, Issue 5, May 1, 2009
Two ICD-9 codes denote debridement in relation to wound care: 86.22, excisional debridement of...
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Briefings on Coding Compliance Strategies, Issue 5, May 1, 2009
Across the country, hospitals are focusing more time and energy on improving quality of care, not...
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APC Answer Letter, Issue 5, May 1, 2009
Inside:
Blood procedures: Code correctly when the only service is specimen collection via...
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HIM Connection, Issue 17, April 28, 2009
On April 13, CMS announced a pilot project to reduce rates of hospital readmissions. The Care...
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HIM Connection, Issue 15, April 14, 2009
A comprehensive database is the critical to managing recovery audit contractor (RAC) requests. The...
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HIM Connection, Issue 14, April 7, 2009
CMS will be holding two Special Open Door Forums on Recovery Audit Contractors (RAC) for Part A and...
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Briefings on Coding Compliance Strategies, Issue 4, April 1, 2009
During its most recent Open Door Forum (ODF) on February 25, CMS discussed several...
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Briefings on Coding Compliance Strategies, Issue 4, April 1, 2009
As part of a recent focus on patient safety, CMS has ramped up its efforts to curb...
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Briefings on APCs, Issue 4, April 1, 2009
Inside:
Watch for changing physician supervision requirements
Few changes to date in HCPCS...
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APCs Weekly Monitor, Issue 13, March 27, 2009
Recovery audit contractors (RAC) cannot randomly select or target a claim "solely because it...
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HIM Connection, Issue 12, March 24, 2009
On March 19, CMS posted a schedule that includes various provider outreach sessions for regions A...
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APCs Weekly Monitor, Issue 9, February 27, 2009
With RAC officially underway, hospitals and providers should begin fine-tuning their RAC...
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HIM Connection, Issue 7, February 17, 2009
The Medicare Recovery Audit Contractor (RAC) program is moving full speed ahead now that CMS has...
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APCs Weekly Monitor, Issue 7, February 13, 2009
CMS announced February 6 the permanent RAC program is once again underway as the RAC bid protests...
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HIM Connection, Issue 2, January 13, 2009
CMS revised its July 2008 RAC appeal update to include appeals statistics through August 31, 2008.
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APCs Weekly Monitor, Issue 1, January 2, 2009
The RAC demonstration project revealed several target areas. HIM directors should focus on these...
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Medical Records Briefing, Issue 1, January 1, 2009
These days, the words “recovery audit contractor” (RAC) are on every HIM...
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HIM Connection, Issue 50, December 23, 2008
Kathy M. Johnson, RHIA, director of coding services at Care Communications in Chicago, says the RAC...
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Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008
Officials answer questions during special ODF By now, one point remains clear: CMS has halted the...
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Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008
CMS discusses RAC expansion, ICD-10, and never events CMS hosted a Hospital & Hospital Quality...
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HIM Connection, Issue 45, November 18, 2008
Regardless of the fact that CMS announced November 3 that it would delay all recovery audit...
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CDI Strategies, Issue 23, November 13, 2008
CMS has delayed the Medicare Recovery Audit Contractor (RAC) permanent program and put a moratorium...
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HIM Connection, Issue 44, November 11, 2008
CMS announced on November 3 that it has delayed the Medicare Recovery Audit Contractor (RAC...
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Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008
Forty percent of Medicare admission denials relate to improper one-day stays. If this statistic...
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CDI Strategies, Issue 21, October 16, 2008
CMS announced the new Medicare Recovery Audit Contractors (RACs) for its permanent nationwide...
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APCs Weekly Monitor, Issue 18, May 2, 2008
Hospitals nationwide are taking notice of the Recovery Audit Contractor (RAC) program and the 2007...