Recovery auditors: RACs in 11 states start pre-payment review of therapy claims over $3,700

Why This Topic Matters

Providers submitting therapy claims near or above the threshold need to understand the changing recovery auditor process so they can manage documentation requests, track reviews, and reduce the risk of delays or denials. The article is relevant to practices that bill physical therapy, speech therapy, and related outpatient therapy services under Medicare.

Article Sections

1. RAC review changes for therapy claims

   Overview of the updated recovery auditor process for outpatient therapy claims and how review methods differ by state and payment timing. The section also identifies the organizations and resources referenced in the coverage.

2. 3 tips for quality therapy documentation

   Practical documentation themes discussed for supporting therapy claims and responding to review requests. The section focuses on broad documentation preparation concepts and related contractor guidance resources.