Connolly Gets Audit Issues Approved
CMS has evidently approved the first issues for RAC audits by Connolly Healthcare. Seven specific issues are now listed on the Connolly Healthcare RAC website. Connolly is responsible for Region C, but the issues have so far only been approved for the state of South Carolina.
States Affected: South Carolina
Provider Types Affected: Outpatient Hospital and Physician.
To see the issues approved, you can visit the Connolly website.
SEE THE LIST WITH LINKS TO ALL DOCUMENT & MANUAL REFERENCES:
Visit the eduTrax website HERE. Once on this page, choose Approved RAC Audit Issues: August 4, 2009.
What about the other RACs?
See for yourself…
DCS Healthcare (Region A)
They have a sample demand letter in Word format. They also list some documentation submission requirements. They have no issues posted, as yet.
CGI Federal (Region B)
No issues posted yet, but they do have other pages. They provider a sample demand letter from an Automated Review. They do not yet have provider contact information available, nor submission requirements.
Connolly Healthcare (Region C)
These first issues are posted to Connolly Healthcare’s website, which seems to be the most complete site, at the moment. They have posted some sample documents for Automated Reviews and Complex Reviews, plus record submission requirements. Also, you can find a provider contact form, as well as a multi-provider contact spreadsheet for providers with multiple facilties/practices.
Health Data Insights (Region D)
Almost nothing there, so far, just a single page.
recovery audit contractor
Tags: CMS, Connolly Healthcare, rac, RAC audits, recovery audit contractor