1. New 1 percent limit on all claims submitted for the previous calendar year, divided into eight periods of 45 days each.
2. New cap of 300 additional documentation requests per each 45-day period for providers that bill more than 100,000 Medicare claims, running from April through Sept. 2010.
3. New provision allowing RACs to request permission to exceed the cap in fiscal year 2010.
4. New definition of a hospital campus qualifying for the limits, based on the organization’s tax identification number and ZIP code information.
Read the CMS’ release on recovery audit contractors (pdf).
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.