tci Part B Insider - 2015 Issue 42

Recovery Audit Contractors: This RAC Sets Sights on E/M Services Performed in SNFs

3 FAQs can help you avoid running afoul of the law. Do your physicians meet with patients at skilled nursing facilities (SNFs) and perform E/M services for those visits? If so, you’ll want to keep an eye on which codes you report—and double check medical necessity to ensure that you could pass any audit. Why? Region A RAC Performant Recovery, which handles the audits for five states, identified the following issue on its website as being under review as of Sept. 10, 2015: Evaluation and management coding in skilled nursing facilities: When you provide E/M services to...

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