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MEDICARE RAC CERTIFICATE POSSIBLE PROGRAM PRECONFERENCE READINGS
- CMS Report to Congress on FY 2010 Recovery Audit Contracting Efforts
http://www.racsummit.com/resources/FY2010_CMS_Report_to_Congress_on_RAC_092011.pdf
- RAC Statement of Work - September 2011
http://www.racsummit.com/readings/RAC_Statement_of_Work_Sep_2011.pdf
- CMS Final Rule on Medicaid RACs
http://www.racsummit.com/resources/CMS_Medicaid_RAC_Rule.pdf
- Results of AHA RACTrac Survey, 2ndQuarter 2011 - August 29, 2011
http://www.racsummit.com/resources/AHA_RACTrac_Q2_2011.pdf
- MLN Matters SE 1110 re Medicare Pilot Project for Electronic Submission of Medical Documentation (esMD)
http://www.racsummit.com/resources/CMS_MLN_SE1110.pdf
- CMS Guidance on Physician/Non-Physician Practitioner Additional Documentation Limits - February 2011
http://www.racsummit.com/resources/CMS_Guidance_re_Phys_ADR_-_Feb_'11.pdf
- CMS MLN Matters #SE1036 -- December 2010 -- Recovery Audit Contractor (RAC) Demonstration High-Risk Vulnerabilities for Physicians -- Excessive Units of Service and Duplicate Claims
http://www.racsummit.com/resources/CMS_MLN_SE1036_-_Physician_Risk.pdf
- CMS Federal Register Notice November 10, 2010 re Medicaid RACs
http://www.racsummit.com/readings/CMS_Fed_Reg_re_Medicaid_RAC_11-10.pdf
- Medicare Claim Review Programs: MR, NCCI Edits, MUEs, CERT, and RAC
http://www.racsummit.com/readings/CMS_Summary_of_Medicare_Review_Programs_October_2010
- 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
- CMS Guidance on Additional Documentation Limits for all Medicare providers (except suppliers and physicians) - November 10, 2010
http://www.RACSummit.com/readings/CMS__2011_ADR_Limits.pdf
- Transcript of CMS Open Door Forum on Medicaid Integrity Provider Audit Program - November 3, 2010
http://www.RACSummit.com/readings/CMS_Open_Door_Forum_-_MIP_Nov_3,_2010.pdf
- 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
- CMS Frequently Asked Questions about RAC
http://questions.cms.hhs.gov/app/answers/list#s=eyJzZiI6eyIxMDM0MTkiOnsiZmlsdGVycyI6eyJub190cnVuY2F0ZSI6MC
wicGFnZSI6MSwic2VhcmNoVHlwZSI6eyJmaWx0ZXJzIjp7ImRhdGEiOjV9fSwia2V5d29yZCI6eyJmaWx0ZXJzIjp7ImRhd
GEiOiJSQUMifX0sInAiOnsiZmlsdGVycyI6eyJkYXRhIjp7IjAiOltdfX19LCJjIjp7ImZpbHRlcnMiO
nsiZGF0YSI6eyIwIjpudWxsfX19LCJzb3J0X2FyZ3MiOnsiZmlsdGVycyI6eyJkYX
RhIjp7ImNvbF9pZCI6Ii0xIiwic29ydF9kaXJlY3Rpb24iOiIxIn19fX19fSwiYyI6NX0
- 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=
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