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Take a look at this summary report from the CMS. It will open in a new window. Basically from Oct 2009 to Mar 2011 the RACs have recovered $365.8M. Of that over half was collected from Jan 2011 to Mar 2011. Things are speeding up. There has been, and still is, a learning curve going [...]
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Continue ReadingIn 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 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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