DecisionHealth, DecisionHealth - 2013 Issue 9 (September)

New RAC issue: Drug screening claims face audit scrutiny

Your revenue is at risk if your practice regularly bills urine drug tests thanks to a new recovery auditor (RAC) target. HealthDataInsights, the RAC for Region D — Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming — is going after G0431 (High complexity test) and G0434 (CLIA-waived or moderate-complexity test) for excessive billing. In particular, HDI is concerned with billing the G-codes per drug that is tested.

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