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Home Health & Hospice Week

Hospice:

Strengthen Your RAC Armor With Attention To Hospice Documentation, Systems

Published on Fri Feb 12, 2010

Expect RACs to hit technical items first. Recovery Audit Contractors are sniffing around the edges of hospice reimbursement, but soon they are likely to be smack in the middle of it -- and knee deep in your claims. RACs have focused mostly on hospitals, physicians, and durable medical equipment suppliers so far, but hospices are likely to be high up on their next target list. "Hospice ... could become a target of RACs much more quickly than the home health agencies," predicts RAC expert Mark Sharp with BKD in Springfield, Mo. (see Eli's HCW, Vol.XIX, No. 9, p. 66). That's because unlike HHAs, hospices have a higher claims review limit, meaning RACs can review more of their claims. "Like the hospitals and SNFs, [hospices] are subject to a higher review limit of 10 percent per provider per 45 days," Sharp notes. In contrast, RACs can review just 1 percent of [...]
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