Conveying RAC Review Determinations
June 17, 2009 · Posted in RAC
If you’re questioning exactly how RAC review determinations are going to be conveyed, you should read this blog post by Carla Engle, MBA, whose background includes years of experience in hospital reimbursement and billing functions. In the post, Engle clarifies how the Medicare Recovery Audit Contractors’ (RAC) review results letters and demand letters will notify providers of the determination and collection process.
Processes are covered for
- automated claim reviews
- complex claim reviews (where medical records and/or additional documentation are requested and reviewed)