TITLE

Five RAC Coding Targets

AUTHOR(S)
Wilson, Donna D.
PUB. DATE
May 2009
SOURCE
Journal of AHIMA;2009, Vol. 80 Issue 5, p64
SOURCE TYPE
Periodical
DOC. TYPE
Article
ABSTRACT
The article focuses on the Recovery Audit Contractors (RACs) in the U.S. The Centers for Medicare and Medicaid Services (CMS) expects four RACs to be operational by 2010 that will identify improper payments of Medicare payments. A demonstration program on how RACs operates shows that most overpayments come from inpatient hospital providers. The program identifies key areas of improper payments due to incorrect inpatient coding including excisional debridement and wrongful diagnosis.
ACCESSION #
38119389

 

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