A Healthcare Financial Management Association presentation suggested that recovery audit contractors are focusing on hospital services for back and chest pain, according to a Fi-Med blog.
RACs are focusing on these services because it is difficult to prove their medical necessity, according to the blog. Services that are not deemed medically necessary may get rejected.
Read the Fi-Med blog on recovery audit contractors.
Related Articles on RACs:
Ministry Health Care Uses System-Wide Approach to Manage RACs
CMS Highlights Differences in RAC Appeal Process and Regular Medicare Appeal Process
CMS: RACs Will Pay For Medical Record Photocopies
RACs are focusing on these services because it is difficult to prove their medical necessity, according to the blog. Services that are not deemed medically necessary may get rejected.
Read the Fi-Med blog on recovery audit contractors.
Related Articles on RACs:
Ministry Health Care Uses System-Wide Approach to Manage RACs
CMS Highlights Differences in RAC Appeal Process and Regular Medicare Appeal Process
CMS: RACs Will Pay For Medical Record Photocopies