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Home Health Agencies Now on RAC Radar!

Posted on Friday, January 26, 2018 2:41 PM

Recovery Audit Contractor or RAC performs post payment review for Medicare (CMS) to identify claims that contain improper payments.  CMS must approve any “issue” that is selected for review.  On January 10, 2018 the HH&H RAC, Performant, posted the issue “Complex Home Health review: Documentation and Medical Necessity”.  The RAC is targeting the following revenue codes:  027X (Medical/surgical supplies), 042X (Physical Therapy), 043X (Occupational Therapy), 044X (Speech-Language Therapy), 055X (Skilled Nursing), 056X (Medical Social Services) and 057X (Home Health Aide).  Agencies will receive a letter from Performant with all the necessary information needed and how to submit the documentation. 

Here is the link to the Performant Region 5 for more details on the issue, resources and forms: 

https://performantrac.com/audit-regions/region-5/?order=desc&filter=provider_type


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Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

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