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The Recovery Audit Program – An Update – Administrative Eyecare

Ophthalmologists are not being overlooked by the recovery audit contractors (RACs). Despite hopes that these reviews would focus on larger specialties or institutions, the extent of their reviews includes many coding conventions used by ophthalmologists. After starting this national program in 2010, the Centers for Medicare and Medicaid Services (CMS) reports recoupment of $592.5 million for the first six months of 2011.

This articles addresses the following topics:

  • Genesis of the RAC program
  • How to identify your RAC
  • What the RAC is reviewing
  • How to respond to a review
  • Changes planned in 2012

This article was published in Administrative Eyecare, and was written by Corcoran’s Vice-President, Donna McCune, CCS-P, COE, CPMA. To access this article, click on the link below:

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