decisionhealth Newsletters, Part B News - 2014 Issue 3 (March)
Halt to RAC audits brings temporary relief, but other auditors loom
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Article Overview
This article covers a temporary halt in one type of Medicare audit activity and the broader audit landscape that may continue to affect practices. It is written for billing, compliance, and denials management professionals who follow audit activity, documentation requests, and appeals backlogs. The discussion focuses on contractor activity, appeal delays, and the operational effects of shifting review volume.
Why This Topic Matters
Audit pauses can affect how quickly claims are reviewed, how providers manage documentation demands, and how long it takes to move cases through the appeal system. Understanding the changing mix of audit contractors helps practices plan for denials management and workload fluctuations.
What You Will Learn
- How a temporary audit pause may affect provider workload
- Which types of audit contractors may still review claims
- Why appeals backlogs matter to provider operations
- How changes in audit activity can shift future review volume
Who Should Read This
- Medical coders
- Billing staff
- Denials management teams
- Compliance professionals
- Healthcare administrators
- Revenue cycle managers
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