decisionhealth Newsletters, Part B News - 2009 Issue 8 (August)
Region D RAC releases audit targets for all 17 of its states
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Article Overview
This article covers Recovery Audit Contractor (RAC) activity in CMS Region D, including the release of CMS-approved audit targets by HealthDataInsights and how those targets compare with a similar release by Connolly Healthcare. It is aimed at healthcare providers, coders, compliance staff, and revenue cycle teams who need to monitor RAC audit activity, understand regional scope, and track where audit issues are being posted. The article also notes timing and posting requirements for RAC audits and identifies the public website source for the Region D targets.
Why This Topic Matters
Organizations in Region D need to know when RAC targets are posted so they can anticipate audit activity and prepare their documentation and compliance workflows. The article highlights the importance of monitoring the RAC’s own website and understanding that audit activity may begin soon after targets are published.
Article Sections
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RAC target release and regional scope
Introduces the release of CMS-approved audit targets and explains that the coverage applies across the Region D jurisdiction. It also compares the scope of two RAC contractors mentioned in the article.
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Region D states and territories
Lists the states and territories included in CMS Region D. This section helps readers confirm whether their location is affected.
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Audit methods and phase-in timing
Summarizes general information about automated and complex review methods and notes timing considerations tied to CMS phase-in guidance. It also mentions the requirement for in-state outreach before certain audit activity can occur.
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How to monitor RAC targets
Explains where RAC targets are posted and how providers are expected to track updates. It also notes that RACs must update their websites when expanding their target scope.
What You Will Learn
- How Region D RAC targets were released and where they are posted
- Which geographic areas are included in CMS Region D
- What general audit methods and timing constraints are discussed
- How providers can monitor RAC target updates
Who Should Read This
- Medical coders
- Compliance officers
- Revenue cycle managers
- Healthcare administrators
- Billing staff
- Provider organizations in CMS Region D
Codes Discussed
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