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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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Continue ReadingDue 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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Continue ReadingRandy Schultz a health lawyer in Kansas City says of the RAC process in Kansas City, “It’s the world’s greatest fishing expedition is what it is.” Jacqui Stanard, a health insurance specialist in CMS’s Kansas City regional office said audits officially began in the area in August of 2009. But it took through the end [...]
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