“A Medicare auditor tasked with reviewing past claims for physician and hospital services in 15 states will start scrutinizing the billing of office visits, claims that previously had been off-limits to recovery audit contractors.” This is how the American Medical News article starts off. It says it all. The RAC or Recovery Audit Contractors are like hounds that have been let loose by the government. And this will not be pretty. As I have written about before, our coding system is a joke. That being said, we have to play the documentation game as it was given to us. Now the government, who set the rules, are after the “upcoders” and “cloners”. Godspeed to you docs out there. My prayers are with you.
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