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MEDICARE RAC CERTIFICATE POSSIBLE PROGRAM PRECONFERENCE READINGS CMS MLN Matters # SE1024 -- July 12, 2010 -- Recovery Audit Contractor (RAC) Demonstration High-Risk Vulnerabilities -- No Documentation or Insufficient Documentation Submitted http://www.RACSummit.com/resources/MLNMatters_July12.pdf CMS MLN Matters # SE1027 -- Recovery Audit Contractor (RAC) Demonstration High-Risk Medical Necessity Vulnerabilities for Inpatient Hospitals http://www.RACSummit.com/resources/CMS_MLN_SE1027_Inpatient_Med_Nec.pdf CMS MLN Matters # SE1028 -- RAC Demonstration High-Risk Diagnosis Related Group (DRG) Coding Vulnerabilities for Inpatient Hospitals http://www.RACSummit.com/resources/CMS_MLM_SE_1028_Inpatient_Coding.pdf AHIMA. "Guidance for Clinical Documentation Improvement Programs." Journal of AHIMA 81, no.5 (May 2010): expanded web version. http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_047343.hcsp?dDocName=bok1_047343 RAC 101 YouTube Presentation by Connie Leonard and CMDR Marie Casey - 2010 http://www.youtube.com/watch?v=IHFXsfP99Bc CMS Chart: Provider Options - RAC Overpayment Determination http://www.RACSummit.com/readings/ProviderOptionsChart.pdf Updated CMS Overview of the RAC Permanent Program http://www.cms.hhs.gov/rac/01_overview.asp? Updated CMS PowerPoint on RAC http://www.cms.gov/RAC/Downloads/RACODFslides.pdf Updated CMS Frequently Asked Questions through January 2010 http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_alp.php?p_sid=j_USwZCj&p_lva=&p_li=&p_new_search=&p_accessibility=0&p_redirect=&p_srch =&p_sort_by=&p_gridsort=4%3A2&p_row_cnt=29%2C29&p_prods=&p_cats=&p_pv=4.497& p_cv=&p_search_type=answers.se CMS Evaluation of the 3-Year RAC Demonstration Program http://www.cms.hhs.gov/RAC/Downloads/RACEvaluationReport.pdf June 2010 Update to the CMS Evaluation of the 3-Year RAC Demonstration Program re Appeals http://www.RACSummit.com/readings/CMS DemoAppealsUpdate61410.pdf Original RAC Contractors' Scope of Work and Contingency Fee % https://www.fbo.gov/index?s=opportunity&mode=form&id=5c8c7d4b00249ba579d4d77d64bd0aea&tab=core&_cview=1&cck=1&au=&ck= CMS Guidance on Additional FY 2010 Documentation Requests per Campus - December 1, 2009 http://www.cms.hhs.gov/RAC/Downloads/DRGvalidationADRlimitforFY2010.pdf

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