Connolly Consulting, the RAC for Region C, covering the South plus New Mexico, recently announced starting the reviews. Only Diversified Collection Service, the RAC for Region A, covering New York and New England, has not made an announcement yet.
Once RACs have announced the reviews on their websites, they can begin requesting medical charts for medical necessity review audits. These audits are the first to examine medical necessity. Medical necessity audits were an area of contention during the RAC demonstration project due to concerns about a lack adequate clinical and Medicare knowledge by RAC auditors.
Read the AHA News Now report on recovery audit contractors.
Read more on recovery audit contractors.
– RACs to Begin Medical Necessity Review Audits
– Hospitals Report Details of RAC Activities in First Quarter of 2010
– CMS Announces New Limits on RAC Requests for Medical Records
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.