Audits: Avoid the RAC Auditor Spotlight on E/M, Hydration Therapy

Why This Topic Matters

The article helps readers recognize the kinds of Medicare claims patterns that can trigger RAC review and overpayment findings, especially in respiratory testing and hydration therapy scenarios. It is relevant for practices that bill E/M services, pulmonary function testing, or infusion-related services and want to stay aligned with compliance-focused guidance.

Article Sections

1. Double-Check Your E/M Claims

   Discusses CMS compliance findings related to same-day E/M reporting in connection with pulmonary diagnostic services and the general audit concerns associated with that billing pattern.

2. RACs Hunting for Hydration Therapy Diagnoses

   Covers audit issues tied to hydration therapy claims and the importance of diagnosis coding specificity as described in the CMS compliance publication.