DecisionHealth, DecisionHealth - 2012 Issue 10 (October)

15 states subject to RAC E/M audit; assess vulnerability to prevent recoupments

A recently posted recovery auditor (RAC) issue targeting E/M codes, especially established patient office visit code 99215, raises the risk that practices will have to pay back a percentage of all of those claims for the past three years.

CMS approved the audit Sept. 12 for Region C RAC Connolly’s 15 southern states.

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