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Home Health & Hospice Week

Industry Notes:

When Recovery Audit Contractor

Published on Tue May 25, 2010

When Recovery Audit Contractor reviews hit home health agencies and hospices, they'll know it thanks to a new Type of Bill indicator, says regional home health intermediary Palmetto GBA. "Claims ... with TOBs of _ _H are related to Recovery Audit Contractor (RAC) adjustments," explains Palmetto in a new RAC frequently asked question set on its website. "For instance, if a provider has a RA and the claim is listed with a TOB 11H, the provider knows this claim is related to RAC." RACs already have secured CMS approval to review dozens of durable medical equipment topics, some relating to HHA and hospice items (see Eli's HCW, Vol. XIX, No. 9, p. 66).
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