tci Part B Insider - 2012 Issue 35

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

Connolly becomes the first RAC to focus on E/M inaccuracies.Recovery audit contractors (RACs) have reviewed scores of issues over the past several years, but perhaps none has been as all-encompassing as the latest decision. RAC contractor Connolly announced on Sept. 12 that it would begin to review E/M claims to find those that were paid incorrectly in 15 states as well as Puerto Rico and the Virgin Islands. Connolly's announcement raised the ire of physicians across the country. The decision will impact nearly every practice in Connolly's region that performs face-to-face services, and will span dates of service...

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