- Hospitals
report appealing 49% of all RAC denials
- 58%
of reviewed claims in the 2nd quarter of 2015 were found to not have an
overpayment
- The
average dollar value of an automated denial was $918
- The
average dollar value of a complex denial was $5,543
- 60%
of the dollar impact of automated denials was due to outpatient coding
errors
- 50%
of all hospitals reported spending more than $10,000 managing the RAC
process during the 2nd quarter of 2015
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Tuesday, October 13, 2015
According to a survey regarding reviews of Medicare payments
... to health
care providers by Centers for Medicare & Medicaid Services (CMS) Recovery
Audit Contractors (RACs) in the second quarter of 2015:
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