Whether you're a small or large provider, it doesn't matter, because medical necessity will be the subject of this focus. So what's the good news?
Tomorrow, RACMonitor.com will issue a special bulletin that takes a close look at what is sure to be an important target for the RACs. You'll learn how accuracy in documentation and coding can turn the ambiguous shades of gray in certain decisions to black and white when it comes to status designation for patients at acute-care facilities. Look for Medical Necessity: The Lightning Rod for RACs -- coming to a computer near you on Tuesday.
Medical Necessity - Lightning Rod for RACsBy Chuck Buck
Original story posted on: April 6, 2009
It only stands to reason that medical necessity would be an enticing target for RACs - the demonstration yielded $391 million in recovered payments, or 40 percent of $930 million in collected overpayments, according to the CMS RAC Status Document for FY 2007.