RAC Audits: One RAC's Decision to Audit E/M Claims Draws Fire

Article Overview

This article covers a Recovery Audit Contractor’s decision to begin reviewing evaluation and management claims across a broad geographic area and the reaction from physician groups. It explains the scope of the audit activity, the time frame involved, and why the issue drew attention from organizations focused on physician payment, compliance, and appeals. The piece is relevant for coding, compliance, and practice management professionals monitoring audit risk affecting office visit services.