DecisionHealth, DecisionHealth - 2012 Issue 8 (August)

Pre-payment RAC audits may derail payment, require extra documentation

You could see payment delays for claims related to short hospital stays because of a CMS recovery auditors’ (RACs) demonstration program launching Aug. 27. While the RACs will focus first on Part A services, your providers’ claims and documentation may be scrutinized if the services rendered were clinically related to a patient’s short hospital stay, experts say.

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