Medicare Compliance & Reimbursement - 2009 Issue 28
RAC AUDITS: RAC Contractors List 7 Audit Issues on Their Radar Screens
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Article Overview
This article summarizes audit issues identified by Medicare recovery audit contractors and explains why providers should monitor contractor postings and review their own billing compliance. It is aimed at billing staff, coders, compliance personnel, and practices that want to understand the general categories of services drawing audit attention and the broader self-audit and refund considerations discussed by CMS.
Why This Topic Matters
Knowing which service categories are under audit scrutiny helps practices assess internal billing patterns, monitor claims risk, and stay current with contractor and CMS guidance.
What You Will Learn
- Which broad claim categories were identified as audit focus areas
- Why contractor Web site postings matter for compliance monitoring
- How self-audit and refund activity relate to future review risk
- Why practices in other regions may need to watch for additional audit issues
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physician practice managers
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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