CMS Lowers RAC Minimum Request Limit

April 5, 2013
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Rick Gawenda
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Beginning April 15, 2013, the additional documentation requests (ADRs) limits that can be requested by recovery auditors has been reduced to a minimum request of 20 records in a 45-day period from hospital and other provider campuses, instead of the previous minimum of 35 records. In addition, only 75% of a hospital’s record request limit may be used for a particular type of claim, such as inpatient, down from 100% previously. Click HERE to access the CMS document.


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