ED Coding & Reimbursement Alert - 2009 Issue 13
RECOVERY AUDIT CONTRACTORS: Defend Against Recovery Audit Contractor Reviews With Solid Documentation
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Article Overview
This article covers the Medicare Recovery Audit Contractor program, including its phased rollout, provider outreach timing, and the general safeguards CMS says are intended to limit review burden. It is aimed at providers, billing and coding staff, and practice administrators who want to understand the program’s scope and prepare for audits with stronger documentation and recordkeeping.
Why This Topic Matters
Recovery Audit Contractor activity can lead to claim review and payment scrutiny, so providers need to know when the program is affecting their state and what operational areas may be under review. Understanding the article helps organizations anticipate audit activity and evaluate whether their documentation and coding processes are ready.
What You Will Learn
- How the Recovery Audit Contractor program is being rolled out across states
- What general provider groups are being targeted in the outreach schedule
- What kinds of documentation and recordkeeping concerns are emphasized in the article
- How CMS has described the phased audit process at a high level
Who Should Read This
- Physicians
- Hospitals
- Home health providers
- Hospice organizations
- Billing and coding staff
- Practice administrators
- Revenue cycle professionals
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