Oct

07

RAC News: New issues for region D, CMS announces Town Hall meeting, and AHA releases program update

By Andrea Kraynak, CPC-A

New issues for RAC Region D

HealthDataInsights (HDI) has announced two new issues for region D.  HDI can now audit DME providers in all region D states for the following two issues:

• Urological bundling
• Wheelchair Bundling

For more information on these issues, visit the HDI Web site. As always, the latest RAC issues for each state are posted on the Revenue Cycle Institute ”Tools” Web page.  Simply click the link at the top of the page to download a chart of RAC activity in your state.

CMS plans appeals town hall meeting

CMS has planned a town hall meeting for November 5 from 1-3:30 p.m. Eastern Time to discuss appeals of Medicare payment denials under Section 935 of the Medicare Modernization Act. CMS will release more information on the call in the coming weeks. Stay tuned for the latest information.

AHA releases RAC program update

The American Hospital Association (AHA) released a RAC program update October 6. The update contains information on several important topics, including:

• The number of audits underway in each region
• Issues for which RACs are seeking approval from CMS to audit
• Medical record request limits
• Rebilling denied inpatient claims as outpatient services

To view a copy of the program update, visit the AHA Web site.