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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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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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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