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AHA RAC Program Update Answers Provider Questions
Andrea Kraynak, for HealthLeaders Media, October 13, 2009
CMS plans to implement a solution next summer, the details being announced via a future CMS transmittal and MedLearn Matters article, according to the AHA.
CMS will also be changing its medical record request limit policies, according to the update. CMS will base the new request limits on tax ID numbers as opposed to national provider identifiers (NPI), eliminating confusion for providers with multiple NPIs.
Finally, the program update notes that RACs will make an effort to use both Interqual and Milliman screening criteria when auditing. The RACs would aim to use the same criteria originally used by the MAC or FI that processed the initial claim.
Andrea Kraynak, CPC, is senior managing editor of Medical Records Briefing and HIM Connection. She may be reached at akraynak@hcpro.com.
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