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Recovery Audit Contractors & Local Coverage Determinations for Therapy

September 17, 2009 0 Comments
Recovery Audit Contractors & Local Coverage Determinations for Therapy

 Automated reviews of rehab untimed codes are underway by the Recovery Audit Contractors in Region C & Region D.  It is entirely possible that rehab providers have received recoupment letters as you read this.  Simultaneously within CMS the conversion from fiscal intermediaries and carriers to the Medicare Administrative Contractor format has resulted in the development/conversion […]

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Connolly, RAC Region C, Untimed: Alabama & Georgia

September 9, 2009 0 Comments
Connolly, RAC Region C, Untimed: Alabama & Georgia

The Region C RAC (Connolly) has posted approved issues for two new states, including the addition of untimed codes for Alabama & Georgia.  Connolly originally posted the CMS approved issue of untimed codes for automated reviews for South Carolina, and shortly after added the issue for Florida.

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The RAC “Issue” of Untimed Codes

August 31, 2009 0 Comments
The RAC “Issue” of Untimed Codes

Now that we know that it is for real, there is no more speculating, it has been published.  How can rehab providers in Region C and Region D get themselves ahead of the RAC automated review process on untimed codes?  We first predicted that untimed codes would likely be one of the first rehab issues […]

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Region B RAC Reveals Website – Posts 3 CMS Issues

August 31, 2009 0 Comments
Region B RAC Reveals Website – Posts 3 CMS Issues

The Region B RAC Contractor revealed their website capabilities while posting 3 CMS approved issues for automated review in Region B states of Indiana, Michgan and Minnesota.  This time the previously CMS approved issue of “Untimed Code” for rehab is not among them.  Visit the site for CGI to see how it is formatted.  Notice that on […]

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Region D RAC Reveals Website and Posts Issues

August 19, 2009 0 Comments
Region D RAC Reveals Website and Posts Issues

HealthDataInsights (HDI) the Region D RAC Contractor revealed their new RAC website last week and simultaneously posted seven CMS approved issues for automated review.  They are the same seven issues posted by Connolly (Region C RAC) several weeks ago for South Carolina.  Once again rehab is on the list with the review of untimed codes for outpatient […]

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Region C RAC Posts Approved CMS Issues – Rehab Included

August 13, 2009 0 Comments
Region C RAC Posts Approved CMS Issues – Rehab Included

The RAC for Region C, Connolly Healthcare, was the first to post CMS approved issues for automated review.  The seven issues posted included rehab, which comes as no surprise as the issue selected is one of billing for untimed codes (service-based codes).  They are looking for claim where service based codes have been billed for […]

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RAC Contractors Update Provider Outreach Schedule Again

May 7, 2009 0 Comments
RAC Contractors Update Provider Outreach Schedule Again

The good news is that CMS and the RAC contractors continue to update the Provider Outreach schedule as we originally reported on April 24th.  The bad news is that, as we originally reported, there have been no new sessions posted that are inclusive of non-hospital or non-physician providers.  For those providers in Texas all the scheduled […]

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CMS Posts RAC Open Door Forum Part B Call Transcript

May 5, 2009 0 Comments
CMS Posts RAC Open Door Forum Part B Call Transcript

CMS has posted the transcript and audio recording of the Recovery Audit Contractor Part B Special Open Door Forum which was held on April 14th.   CMS reported that there were over 1,000 participants on the line.  Many Part A providers participated in this call, as the Part A Call (get the transcript here) was filled to […]

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CMS Posts RAC Open Door Forum Part A Call Transcript

April 24, 2009 0 Comments
CMS Posts RAC Open Door Forum Part A Call Transcript

CMS has posted the call transcript from the RAC Special Open Door Forum for Part A Provider, held on April 8th.  While originally scheduled to be posted on April 16th, it is now posted and should be available for 30 days according CMS comments.  The RAC Special Open Door Forum for Part B was scheduled […]

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RAC Contractors Update Provider Outreach Schedule

April 24, 2009 1 Comment
RAC Contractors Update Provider Outreach Schedule

The Provider Outreach Schedule has been updated at the CMS RAC website.  It has grown from 3 pages (originally listed in March) to six pages, updating meetings in Regions A, B, C and D.  Meetings hosted by the hospital associations and medical societies may only be open to members of those associations.  On the new […]

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