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    Medicare RAC Audits - What Are They and What Do They Mean to Your Practice?
    By Dallas Alford

    In section 306 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Congress directed the Department of Health and Human Services (DHHS) to conduct a 3-year demonstration program using Recovery Audit Contractors (RACs) to detect and correct improper payments in the Medicare FFS program.

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    RAC Program Causing Concern
    By Richard Pizzi, Editor Healthcare Finance News
    Posted on 03 April, 2009


    Hospital administrators are expressing frustration with Medicare’s Recovery Audit Contractor program, and many may not be prepared for the upcoming audits.

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    2010 CPT Code Changes

    Guidelines

    Evaluation & Management Services Guide (CMS-July 2009)
    1997 E/M Documentation Guidelines
    1995 E/M Documentation Guidelines
    E/M Pocket Guide (Trailblazer Health: 2008)

    History Documentation

    Documenting a History (Tulane University Medical Group)
    Highmark Medicare Services HPI Elements (Reviewed 05/13/08)

    FAQ

    Highmark Medicare Services FAQ (Reviewed 2/13/2008)
    Wisconsin Medical Society FAQ (2008)
    Medicare Physician Guide (CMS-July 2007)
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