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Home Health & Hospice Week

Audits:

Study These Target Areas To Avoid RAC Scrutiny

Published on Wed Sep 09, 2009

Get the scoop on 'issues' for Northeast and Midwest regions. It's official, providers in RAC regions across the country now know what 'issues' the RAC auditors in their area are looking for. Diversified Collection Services (DCS) of Livermore, Calif., posted several issues that are on its radar for Region A, which includes Connecticut, Delaware, District of Columbia, Maine, Massachusetts,New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont. Region A Overview: All posted issues pertain to durable medical equipment (DME). They include wheelchair bundling and urological bundling (which should be familiar to you if you've been following Regions C and D), as well as pharmacy supply and dispensing fees. Relevant HCPCS codes include Q0511 and Q0512. If a supply or dispensing fee is billed, there should be a corresponding oral anti-cancer, oral antiemetic, immunosuppressive drug or inhalation drug that is reimbursed on the same date of service (not denied), [...]
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