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  • RAC Region A Posts First Set of CMS Approved Issues

    MONDAY, SEPTEMBER 21, 2009----DCS, the Recovery Audit Contractor for Region A, has posted its first CMS approved issues to its Web site. ...
  • RAC Expected to Target Bronchoscopes and Excessive Unit Coding

    By Sandra L. Draper, RHIT, CCS One of the first CMS-approved audit issues announced by RAC regions C and D involves the correct billing for bronchoscopy services. The issue focuses on several CPT codes that only should be reported once per each date ...
  • Local Coverage Determinations: Scrapbooking Your Way to Success in a RAC World

    I'm not much of a crafter. In fact, I have been hoping for years to compile a collection of my grandmother's Croatian cooking recipes as a gift for my mother, which in turn would be handed down to my daughter, but I just can't seem to get started. ...
  • The Burning Questions for Hospitals: What Should You be Capturing and Tracking in Your RAC Audits?

    ED. NOTE: This is the fifth in an ongoing series being produced by Carla Engle for RACMonitor. Deciding how your own internal processes are going to work once the RAC letters start rolling in is probably one of the most daunting tasks we all are grapp...
  • The Geek Factor – Do Your Own Data “Mining” on the Contractors’ Web sites

    By Nancy J. Beckley, MS, MBA, CHC It seems like we've been in the starting blocks for months. Well, actually, we have in the starting blocks for months. Every so often it looks like we might be ready to take our marks, but the whistle blows and we all...
  • What If Your Fiscal Intermediary’s Guidance Is Wrong?

    By: Duane C. Abbey, Ph.D., CFP Fodder for the RACs can come from many different sources. A general source for possible overpayments involves incomplete, ambiguous, conflicting and/or sometimes incorrect guidance. Regarding claimed overpayments, for s...
  • Catch Me If You Can: Staying Ahead of the RAC Reviews of Untimed Codes

    Nancy J. Beckley, MS, MBA, CHC It is great to breathe a great big sign of relief! No, the RACs have not gone away, but they have finally become operational (rather than informational), and the first targets have been revealed. ...

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