Auditing:
Check Your Injection and Bilateral Claims Before RACS Catch Up
Published on Thu Mar 29, 2012
Plus: Contractors are also auditing place of service, bilateral services, and consolidated billing.Your practice may have grown accustomed to the presence of recovery audit contractors (RACs) in the Medicare world, but it can still be hard to follow the issues that the RACs investigate. Two RAC regions recently posted focus areas every pain management practice needs to know. Check out what they're seeking and how you can avoid the auditors' crosshairs.Watch Diagnosis With Transforaminal Epidural Region C RAC Connolly will be reviewing claims for "transformational epidural injections." This appears to be a spelling error, with the RAC referencing articles about transforaminal epidural injections (rather than "transformational").The RAC notes that "claims have been identified where the first-listed and/or other diagnosis codes do not match to the covered diagnosis codes in the LCD policies." What it means: The Medicare contractor has an LCD (local coverage determination) with specific ICD-9 codes that support [...]