CMS Lowers RAC Minimum Request Limit

April 5, 2013
Rick Gawenda

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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