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News: CMS publishes 2011 RAC ADR limits for providers

    https://acdis.org/articles/news-cms-publishes-2011-rac-adr-limits-providers
    CMS has modified the additional documentation request (ADR) limits (i.e., medical record request limits) for the RAC program in 2011, according to document posted November 10 on the CMS RAC website. The limit is based on the number of claims …

What are the Limitations on RAC Audits? - American …

    https://www.acc.org/tools-and-practice-support/practice-solutions/medicare-enrollment-and-claims-submission/recovery-audit-contractors/what-are-the-limitations-on-rac-audits
    Those limits for 2011 for providers are as follows: Physicians . Offices with fewer than five providers: 10 medical records; Offices with six to 24 providers: 25 medical records; …

Additional Documentation Limits for FY 2011 for …

    https://www.cms.gov/files/document/fy2011limitspdf
    within each RAC region. 1. Limits will be based on the supplier’s Tax Identification Number (TIN). A national supplier who has one TIN and has claims paid by all four DME MACs …

ACEP // Recovery Audit Contractor (RAC) FAQ

    https://www.acep.org/administration/reimbursement/reimbursement-faqs/recovery-audit-contractor-rac-faq/
    Updated February 2021 Disclaimer The American College of Emergency Physicians (ACEP) has developed the Reimbursement & Coding FAQs and Pearls for informational …

Recovery Audit Contractor (RAC) Program - Cotiviti

    https://info.cotiviti.com/hubfs/CMS_RAC/assets/Frequently-Asked-Questions-CMS-RAC-(updated-2019-04-08).pdf
    Medical record request limits are based on two components that are mutually exclusive: frequency of request and number of charts requested. The frequency …

Medicaid RAC Program – Operational Guidance

    https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/MedicaidIntegrityProgram/Downloads/Medicaid_RAC_FAQ.pdf
    of medical records that may be reviewed by a Medicaid RAC. A State and its RAC vendor could agree, through an audit plan, on the number and frequency of medical records to …

The Recovery Audit Program and Medicare

    https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Recovery-Audit-Program/Downloads/The-Recovery-Audit-Program-and-Medicare-Slides-051313.pdf
    Limit the Recovery Auditors “look back period” to three years Recovery Auditors will accept imaged medical records on CD/DVD Limit the number of medical record requests— …

Medicare Fee for Service Recovery Audit Program | CMS

    https://www.cms.gov/research-statistics-data-and-systems/monitoring-programs/medicare-ffs-compliance-programs/recovery-audit-program
    Please e-mail us at [email protected]. Please Do Not send Personal Health Information to this e-mail address. The Medicare Fee for Service (FFS) Recovery Audit Program’s …

CMS expands RAC records request limits - Healthcare …

    https://www.healthcarefinancenews.com/blog/cms-expands-rac-records-request-limits
    CMS expands RAC records request limits. The Centers for Medicare & Medicaid Services (CMS) modified its FY2010 Additional Documentation Request (ADR) Limits, expanding …

CMS lowers RAC medical record request limits - Fierce Healthcare

    https://www.fiercehealthcare.com/healthcare/cms-lowers-rac-medical-record-request-limits
    CMS lowers RAC medical record request limits | Fierce Healthcare Fierce Pharma Fierce Biotech Fierce Healthcare Fierce Life Sciences Events Providers Health Tech Finance …



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