tci Part B Insider - 2015 Issue 3

Compliance: RAC Auditors Frustrated Over Duplicate Claims, Facet Joint Injections

Don’t resubmit a claim without checking why it was denied the first time. Curious about which coding issues the Recovery Audit Contractors (RACs) find most frequently? The answer could lie in the results that RACs recently provided to CMS, which were published in its Jan. 2015 Medicare Quarterly Provider Compliance Newsletter. And if you’re one of the many practices that submits duplicate claims, the RACs might be looking for you. Decrease Those Duplicates In the publication, CMS covers some of the most problematic issues that the RAC auditors see, and among them is duplicate billing. “Exact...

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