CMS Adjusts Medicare RAC Documentation Limits

Becker’s ASC: April 08, 2013

In an effort to reduce administrative burdens on hospitals and other providers, CMS has reduced the minimum medical record requests from Medicare Recovery Auditors — formerly known as Recovery Audit Contractors, or RACs.

The new guidelines, which exclude physicians and suppliers, go into effect April 15. According to the CMS guidance, RACs may request a minimum of 20 records in a 45-day period from hospitals, down from the previous minimum of 35 records.

The maximum number of record requests per 45 days is still 400, while hospitals with more than $100 million in MS-DRG payments still have a cap of 600. Read more