Health Information Management

CMS raises documentation request limits for certain hospitals

HIM-HIPAA Insider, March 15, 2011

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

Prior to the change, RACs could request a maximum of 300 records per 45 days from all hospitals. Under the new cap, RACs can request up to 500 records per period from hospitals that exceed $100 million in Medicare reimbursement annually, according to the March 2 issue of AHA NewsNow, published by the American Hospital Association (AHA).
To view the AHA NewsNow article, click here. For the latest information on recovery audit contractors, visit the Revenue Cycle Institute website.

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