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首页> 外文期刊>Journal of AHIMA >A busy year for the RACs. Learning from last year's denials and preparing for what's ahead will help providers avoid being stung in 2012.
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A busy year for the RACs. Learning from last year's denials and preparing for what's ahead will help providers avoid being stung in 2012.

机译：RAC忙碌的一年。从去年的否认中吸取教训并为未来做好准备，这将有助于提供商避免在2012年陷入困境。

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WHEN THE RECOVERY Audit Contractor (RAC) permanent program began in 2009, providers were hopeful that the process for identifying underpayments and overpayments would offer resolution from missing letters, unwarranted denials, unclear next steps in the process, and the disjointed flow of the RAC demonstration program. There remained, however, a level of uncertainty and hesitation about what was to come. As we enter 2012, it is clear that many areas of the permanent program still leave providers searching for answers and help.Meanwhile, the program continues to expand. The Medicaid permanent program began in January, and three demonstration projects will launch this year (Part A to Part B rebilling, prepayment review, and prior authorization of power mobility devices). The new programs put an additional burden on providers.Let's review the RAC program over the past year; investigate what has been revised, updated, and implemented; and take a look at what is to come with the new initiatives.
机译：当恢复审计承包商（RAC）永久计划于2009年开始时，提供者希望，用于识别付款不足和超额支付的过程将解决以下问题：缺少信函，无根据的拒绝，不清楚的后续步骤以及RAC演示的脱节程序。但是，对于即将发生的事情仍然存在一定程度的不确定性和犹豫。当我们进入2012年时，很明显，永久性计划的许多领域仍然让提供者寻找答案和帮助。与此同时，该计划还在继续扩展。 Medicaid永久性计划于1月开始，今年将启动三个示范项目（A至B部分的计费，预付款审查以及电动移动设备的事先授权）。新计划给提供商带来了额外的负担。让我们回顾一下过去一年中的RAC计划。调查已修订，更新和实施的内容;并看看新计划将带来什么。

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