RAC: CMS Approved Audit Issues Posted
To see the Recovery Audit Contractor (RAC) CMS-approved audit issues, visit Connolly Healthcare’s website. Connolly is the RAC Contractor for Region C. The CMS Approved Audit Issues are for hospital outpatient facilities and physicians.
According to the National Association of Rehab Providers and Associations (NARA), the first set of approved issues includes outpatient rehab in the mix, and the source of the issues comes straight from the finding in the RAC demonstration project in California and New York. In the demonstration project $3.2 million of claims for speech evaluation were found to be billed in error as time-based codes, rather than as service-based codes. The Speech evaluation code may only be billed as a unit of “1″. The same is also true for physical therapy evaluation and occupational therapy evaluation codes.
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