decisionhealth Newsletters, Part B News - 2009 Issue 8 (August)
CMS approves physician, outpatient hospital targets for RAC
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Article Overview
This article explains recent CMS approval of Recovery Audit Contractor review issues and the need for providers to monitor RAC websites for authorized targets. It is intended for physicians, outpatient hospitals, and coding/compliance staff tracking audit activity, regional contractor postings, and the broader rollout of RAC reviews across multiple jurisdictions.
Why This Topic Matters
Providers need to know when a RAC has CMS-approved issues because those approvals determine what records and claims may be subject to complex review. Staying current helps billing, coding, and compliance teams anticipate audit activity and respond appropriately.
What You Will Learn
- How CMS approval affects RAC issue targeting
- Why providers are being told to monitor contractor websites regularly
- Which provider settings are mentioned as being affected by approved RAC issues
- How RAC activity is rolling out across different regions and states
Who Should Read This
- Physician practice coders
- Outpatient hospital coding staff
- Compliance officers
- Revenue cycle professionals
- Healthcare auditors
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