AHA Coding Clinic® for HCPCS - 2010 Issue 1

RAC Audit Highlight

In an ongoing effort to provide a coding perspective on the targeted issues identified by CMS for Recovery Audit Contractors (RAC) review we will continue to gather information of which to share with you. This issue will focus on the appropriate reporting of Blood Transfusions. Blood Transfusions The appropriate reporting of blood transfusions is one of the targeted issues approved for RAC review by CMS, as a consequence of inappropriate reporting of the service units. A unit is defined as the number of times the service or procedure being reported is performed. When a blood transfusion is performed, regardless...

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