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CodeMap® Compliance Briefing: 04/16/2010


Editor's Welcome:

This week, contributing author Ms. Stacie Buck continues her discussion on how the Recovery Audit Contractor (RAC) program may affect providers of radiology and imaging services. You will remember that the first installment of this discussion was included in the April 1, 2010 CodeMap® Radiology Briefing. Today's installment focuses on specific documentation issues that may be the focus of future RAC audits. Ms. Buck will conclude her discussion in a third and final installment in the near future concerning coding and documentation issues for interventional radiology services.

As a reminder, the Tax Relief and Health Care Act of 2006 required Congress to implement a permanent national RAC program by January 1, 2010. The national RAC program now being implemented is the outgrowth of a successful demonstration program used to identify incorrect Medicare payments made to health care providers and suppliers in six states. The demonstration yielded over $900 million in overpayments being r....

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