RAC request

Unknown
in CDI Talk Archive
Has anyone in CT gotten a request for charts from RAC? If so, what was their focus if you don't mind sharing.

Comments

  • cselukecseluke
    edited May 2016
    Sorry, my message got truncated. I'm in Maine; DCS has requested for DRG
    validation DRG's 189, 64, 65, 66, 329, 330, 331.


  • ctrygarctrygar
    edited May 2016
    I was wondering if you have heard back from the RAC's yet on any of the charts they requested.

  • Unknown
    edited May 2016
    Our RAC contractor is GCI. The first complex request was for 291 and 190. The RAC found two which they wanted to take back money. We are disputing one of these. The second complex reviews were DRG 217, 263, 440, MSDRG 463, 465, 573, 574, 575, 901, 902, 903 and procedure code for 86.22. They also requested records for 316, 682, 683, 684, 014, 064, 065, 066. We have not heard any response from these records as of this date.




    Malinda



  • cselukecseluke
    edited May 2016
    So far, we've received review results for 6 charts (DRG 189). All were
    validated except one. The auditor actually said the PDX was sepsis and
    that we had been underpaid on the case.


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