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Audit Tracker

RAC Appeals and Reports to Congress

by RacGuru on May 20, 2010

in RAC News

In the previously mentioned article on CMS Manual System changes, I touched on the fact that you need to be organized. There is a second part to that CMS Manual change, and it deals with Monthly Appeals Reports and the proper method a RAC is to follow when they submit those reports. About a year [...]

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New Denial Code for RACs

by RacGuru on May 19, 2010

in RAC News

Effective May 24, 2010, the CMS will institute a new denial code (N432) that is specifically a message to you (the physician’s office) that reimbursement has been held back due to a RAC audit. Specifically, “When possible, the Remittance Advice shall contain an N432 code to let the provider know that the adjustment is the [...]

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No RAC Delay in Kentucky

by RacGuru on April 14, 2010

in RAC News

Due to some posturing by contractors to gain the very lucrative RAC contract, there was expected to be a delay of when the newly awarded contractor would take over conducting RAC audits. There may still be a 90 day RAC blackout period if/when a transition of the RAC contractors occurs, but that won’t be known [...]

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