decisionhealth Newsletters, Part B News - 2008 Issue 10 (October)
CMS releases limits on RAC audit requests
Subscribe or sign in to view the full article.
Article Overview
This brief article reports CMS guidance on how many medical records a Recovery Audit Contractor may request from physician practices within a 45-day period. It is relevant to billing, compliance, and audit-response staff who need to understand the scope of RAC activity, the practice-size categories used for the limits, and the fact that the agency indicated the limits were tied to a specific fiscal year and could change in future years.
Why This Topic Matters
Practices facing audit activity need to know the current bounds on record requests so they can plan administrative workload, monitor compliance processes, and respond appropriately to payer review activity.
What You Will Learn
- How CMS described RAC record-request limits for physician practices
- How those limits vary by practice size
- What fiscal-year and NPI context CMS attached to the guidance
- Which states were noted as being subject to the permanent RAC program
Who Should Read This
- Physician practices
- Medical billers and coders
- Compliance staff
- Revenue cycle teams
- Practice administrators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com