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RAC7 PRECON READINGS - ADVANCED CERTIFICATE PROGRAM Below is a set of preconference readings designed to supplement your current understanding of RAC policies and issues. Choose ones that fill in gaps in your existing knowledge base. The 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= June 2010 Update to the CMS Evaluation of the 3-Year RAC Demonstration Program re Appeals http://www.RACSummit.com/readings/CMS DemoAppealsUpdate61410.pdf CMS Chart: Provider Options - RAC Overpayment Determination http://www.RACSummit.com/readings/ProviderOptionsChart.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 Defining the Core Clinical Documentation Set for Coding Compliace -- Oct. 2012 AHIMA http://www.RACSummit.com/resources/AHIMA_Defining_Core_Clinical_Documentation_Oct_2012.pdf CMS Final Rule on Medicaid RACs http://www.racsummit.com/resources/CMS_Medicaid_RAC_Rule.pdf Results of AHA RACTrac Survey, 2dQuarter 2012 http://www.racsummit.com/resources/RAC_Trac_Q2_2012.pdf AHA June 2012 Letter to Senate Finance Committee http://www.racsummit.com/readings/AHA_Finance_Committee_Letter_Jun_2012.pdf AHA White Paper on Program Integrity Reviews http://www.racsummit.com/readings/AHA_White_Paper_Prog_Integ.pdf CMS Summary Report on FFS Recovery Audits - August 2012 http://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Recovery-Audit-Program/Downloads/National-Program-Corrections-FY-2012-3rd-Qtr.pdf Article on MAC Inpatient Prepayment Reviews http://blog.kdlegal.com/blog/health-reform-connect-3/macs-increase-of-inpatient-prepayment-reviews CMS Briefing on Part A to Part B Rebilling Demonstration http://www.RACSummit.com/readings/AB-Rebilling-Demo-Provider-Outreach-and-Education-Slides.pdf CMS Information Page on RAC Prepayment Review https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/CERT/RAC-Prepay-Review.html AHA Letter August 24, 2012 to HHS OIG re Contractor Burden http://www.racsummit.com/resources/AHA_OIG_Letter.pdf AHA Letter of Support October 16, 2012 for H.R. 6575 Medicare Audit Improvement Act of 2012 http://www.racsummit.com/resources/AHA_RAC_Legislation_Letter_to_Cong.pdf CMS Webpage for MedLearn Articles http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/index.html?redirect=/MLNMattersArticles/

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