IDSA has developed resources to help members understand and navigate Medicare’s Recovery Audit Contractors (RAC) claims review process, a new program intended to identify improper payments.
As reported in last month’s IDSA News, RAC was designed by Congress to fight Medicare waste, fraud, and abuse; but IDSA and other medical societies are concerned that physicians will be wrongly penalized for common billing mistakes or subjective coding decisions on evaluation and management services. The program has begun in some regions and is expected to be active nationwide by Jan. 1, 2010.
The IDSA website now includes a page with details about the program, information about claims and appeals, and links to other resources. (You must be logged in to access this page.)
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