DecisionHealth, DecisionHealth - 2012 Issue 10 (October)

RAC E/M audit limited to 3 providers, could see widespread expansion next year, CMS says

A CMS recovery auditor (RAC) has requested records with E/M code 99215 from three providers. It’s the first step in a process that appears headed toward CMS’ widespread approval of an extrapolated audit in 15 states next year and potentially the entire nation. Region C RAC Connolly’s findings from 90 records submitted by those three providers will determine whether CMS grants widespread approval of the audit in the entire jurisdiction.

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