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  • Title: Centers for Medicare and Medicaid services tighten reimbursements.
    Journal: Hosp Case Manag; 2011 Dec; 19(12):177-9. PubMed ID: 22259942.
    Abstract:
    Hospitals will suffer when the Medicaid Recovery Audit Contractor (RAC) starts on Jan. 1, 2012, if case managers aren't scrutinizing those patients as closely as those who are covered by Medicare. Make sure your documentation is complete to avoid denials and prepare for appeals. Work with your state Medicaid provider to determine how the program will work in your state. Learn the rules for all states in which your patients reside. Be aware that the Medicaid RACs are charged with taking a proactive approach to identify potential fraud.
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