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Congress has once again delayed implementation of the Red Flag rules. Now the Red Flag rules do not go into effect until Dec 31, 2010. For many this is a big sign of relief…one more regulation we can delay worrying about. Here are the realities: Red Flag Rules parallel HIPAA Regulations – that is, it [...]
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Continue ReadingEffective 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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Continue ReadingRegular readers know by now that RACGuru.com is a physician oriented website. Hospitals already have plenty of help to address RAC issues – we focus on doctors. So if you’re a physician, here is something you may find interesting.
Regular readers know by now that RACGuru.com is a physician oriented website. Hospitals already have plenty of help to address RAC issues – we focus on doctors. So if you’re a physician, here is something you may find interesting. On April 16th, Connolly Healthcare (Region C) posted 20 new DRGs to their CMS approved list. Nothing new here – RACs are posting new issues all the time – right? Well, yes and no – it’s the kinds of issues here that’s important.
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