Health Information Management

News: Revenue Cycle Institute posts '2011 Recovery Auditor Benchmarking Report'

CDI Strategies, March 1, 2012

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More than 400 individuals responded to the “2011 Recovery Auditor Benchmarking Survey” issued by the Revenue Cycle Institute, with more than 80% indicating their facility had received medical record requests for semi-automated or complex reviews over the course of 2011. The increased activity corresponded to an increase in Recovery Auditor recoupment, responses indicate, with only 6% of providers reporting they received record requests but were unscathed by recoupments.

The Recovery Auditors continued emphasis on inpatient medical necessity led to more than 50% of respondents working with case management to tighten utilization review (UR) controls. In fact, 87% of respondents indicate they have an active UR committee, and more than 50% have a UR representative involved in medical necessity determinations on a daily basis.

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