tci Medicare Compliance & Reimbursement - 2013 Issue 4

RAC Audits: Brace For Intensified Scrutiny

Check out what’s on the radar screen of auditors. The recovery audit contractors (RACs) are on the prowl and are targeting areas like cataract surgery and Mohs this year. Read on to find out how to avoid getting into hot water for these and other services. Mohs Surgery Region C RAC Connolly announced on Jan. 9 that it would begin auditing claims for Mohs surgery when the pathology is billed by a different provider, going back to dates of service from 2007 through the present. Background: "Mohs micrographic surgery used for removal of complex or ill-defined skin cancer...

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