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Regulatory MonitoringJun
25
Q&A: RACs and physician offices
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Q. Our Midwestern physician practice that has more than 30 physicians. Are physician offices “vulnerable” or on the radar for RACs?
A: Yes, they are vulnerable. In addition, CMS has stated that when a RAC denies a hospital stay or service for medical necessity, the associated physician services would also be subject to denial.
Editor’s note: Tanja Twist, director of Patient Financial Services at Methodist Hospital of Southern California answered the previous question. She will also be speaking in the upcoming HCPro audio conference, “Medicare Appeals: Practical and Compliant Procedures for Overturning Denials,” as well as at the upcoming conference, “Medicare Compliance Forum: A Strategic Approach to RACs, Observation Status and the Role of Physician Advisors,” which will be held in Atlanta this October.
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Are nurse practitioners that have a Medicare license being audited under the RACs also?