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Briefings on Coding Compliance Strategies (Single Article)

The RAC project: Its effect on one California hospital system
December 2006

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Editor's note: This article is the second in a two-part series. Last month, Briefings on Coding Compliance Strategies looked at an overview of the recovery audit contract (RAC) project and the possibility of its national implementation. A glimpse at the types of claims that the California RAC has requested in the past two years is a good indication of what might be in store if Medicare rolls out the program nationwide. Some of the records that the California RAC has requested include a specific set of DRGs (see Requested DRG claims below), medical necessity of acute-care rehab services, and even some outpatient claims.

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