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CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.This article…
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CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.This article first appeared in RACmonitor.Beginning on January 1, 2010, Medicare ceased the reimbursement for consultation codes (CPT codes 99241-99255), which removed…
Under a provision in the healthcare reform law, CMS may suspend payments to a provider if it suspects fraud, according to a report in the RAC Monitor.
The Centers for Medicare & Medicaid Services will discuss its ICD-10 conversion process during a national teleconference on May 18, according to an AHA News Now report.
It's all too easy for coders to make mistakes that can be picked up by recovery audit contractors, says Gloryanne Bryant, regional managing director of health information management and co-chair of the RAC Committee for Kaiser Northern California.
Among the many current changes in the healthcare industry is a transition from ICD-9 to ICD-10 codes. One of the major changes of ICD-10 is an increase of specificity, as it has 68,000 codes compared to ICD-9's 13,000. As the…
The AMA and the Medical Group Management Association have created an online directory that lists software vendors that can help physicians install HIPAA 5010 connectivity in advance of conversion to the ICD-10 system, according to a release by the MGMA.…
Downgrades of short inpatient stays to observation status by recovery audit contractors can lead to big losses in reimbursement. This is forcing hospitals to look more closely at their patient-status decisions, according to Steven J. Meyerson, MD, vice president of…
This article originally appeared in the RACMonitor.com in Nov. 2010. At this point in time, there has been a limited focus on durable medical equipment by the RACs. Currently, HDI, the Region D RAC, is leading the way with 20…
Sen. Tom Carper (D-Del.), chair of the Senate's federal financial oversight committee, called on CMS officials to step up efforts to identify payment errors, such as by recovery audit contractors, according to a release from Sen. Carper's office.
On its website, CMS answers the following questions about recovery audit contractors.