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Monday, September 17, 2012

WORRIED ABOUT E&M RAC AUDITS? TMA CAN HELP

TMA’s payment advocacy team is ramping up to investigate the details of the federal government’s announcement that Recovery Auditor Contractor (RAC) Connolly, Inc. may begin auditing Medicare coding for CPT 99215 (evaluation and management [E&M] of an established patient) in physician offices in Texas and several other states. As soon as we get it, TMA will share the specifics of where and when the audits of the highly subjective coding determinations will begin. TMA offers several online courses and publications to help you avoid trouble. TMA Practice Consulting has certified professional medical auditors and coders on staff to review physicians’ documentation. Finally, if you find yourself on the wrong side of a RAC overpayment decision, we’ve put together this checklist of your discussion, rebuttal, and redetermination options.

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