Billing and Collections
News and background on health care provider and payer admitting, billing and collection policies and practices.
Look to this page for information and updates on a variety of topics related to health care finance and patient financial services, including uncompensated care, third-party payer policies and payment rates, coding, billing and follow-up, data reporting and audit.
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RAC Demand Letters and ADRs Out Across Ohio
February 1, 2010:
Hard copy demand letters on automated RAC reviews and medical records requests (ADRs) for complex reviews are being received across the state. There are almost 50 approved review projects now listed on the CGI Issues page. Unfortunately, in some instances the letters are not being directed to the identified RAC contact and are being sent to a general address. Please be on the lookout for correspondence from CGI Technologies and Solutions. Sample demand letters and envelopes are available on OHA’s RAC Web page. If a letter or request is sent to the wrong address, immediately contact CGI at RACB@cgi.com and ask it to update its records and confirm the change.
In a minor related issue, CGI reported the previously announced automated issue on Medically Unlikely Edits (MUE) was prematurely posted to its issues page and has been removed. Once the MUE project is through the entire approval process at CMS, it will be reposted.