All Entries Tagged With: "Connolly"
Providers report first RAC denials in Florida, South Carolina
Over at the Revenue Cycle Institute, my colleague Andrea Kraynak has a great post on the first RAC denials that we’re seeing so far. There’s some really solid, in-depth information there regarding the experiences of two providers with RAC denials and even a discussion of particular CPT codes affected. Great information for all of us looking to stay on top of this evolving issue.
RAC program: Connolly posts approved issues for Florida
UPDATE: Blood transfusions have since been approved for review in Florida.
Connolly Healthcare, the RAC for region C, has now posted issues for review in Florida.
Similar to South Carolina, RACs may now audit providers in Florida on the following five issues:
- Untimed Codes
- IV Hydration Therapy
- Once in a lifetime procedures
- Pediatric codes exceeding age parameters
- J2505: Injection, Pegfilgrastim, 6 mg
Note that CMS has not approved audits of bronchoscopy services or blood transfusion at this time for Florida providers.
Connolly has not yet posted approved issues for other states and territories in the region, including Alabama, Arkansas, Georgia, Louisiana, Mississippi, North Carolina, New Mexico, Oklahoma, Tennessee, Texas, West Virginia, as well as Puerto Rico and the U.S. Virgin Islands.
Hat tip to my colleague Andrea Kraynak at the Revenue Cycle Institute. Thanks Andrea!
