RAC Audits: Auditors Home in on Modifiers for Discontinued Procedures

Why This Topic Matters

Discontinued-procedure claims can be subject to audit scrutiny, so understanding the article’s scope helps practices assess compliance risk and documentation readiness.

Article Sections

1. RAC audit focus on discontinued procedures

   Introduces the Medicare audit topic and the general circumstance under review. It frames the discussion around claims handling and coding scrutiny in different practice settings.

2. Check This Example

   Presents a clinical example used to illustrate the scenario discussed in the article. The example helps orient readers to the type of procedure and billing context involved.

3. Always Submit Documentation

   Summarizes the article’s documentation emphasis and the general need to support the billed claim. It also notes the article’s comparison of the modifiers discussed.