Information for Providers in RAC Region C States: Connolly Webinar January 21 on Home Health Audits
Monday, January 14, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy




Attention: All home health agencies in the following RAC Region C states: Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia, Puerto Rico, US Virgin Islands.
 
Connolly Consulting Associates, Inc., the Medicare Recovery Audit Contractor (RAC) for Region C, will hold a Webinar on Monday January 21, 2013 at 11:00 a.m. ET to discuss RAC audits of home health agencies in Region C.
 
Dial-in info for the webinar: Conference Dial-in Number: (209) 647-1000 Participant Access Code: 165983#
 
Connolly has promised a URL to the live meeting and handouts, but has not provided that information at this point in time. Additional details will be shared with VNAA members as soon as they become available. Questions can be directed to: Email RACinfo@connollyhealthcare.com or by phone to (866) 360-2507.
 
CMS approved RAC home health issues to date include:
 
  1. Hospice related services billed with Condition code 07- Home Health: C000802012
    Automated Audit
    Home Health
    Region C
    11/26/2012
     
  2. Home Health Agency - Medical Necessity and Conditions to Qualify for Services Issue Number: C002222011
    Complex Audit
    HHA
    Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia
    6/29/2012
     
  3. RAP claim without corresponding home health claim CMS Issue Number: C000682011
    Automated Audit
    HHA
    Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia
    5/22/2012
     
  4. Incorrect billing of Home Health Partial Episode Payment claims CMS Issue Number: C002022011
    Automated Audit
    HHA
    Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia
    1/27/2012
     
  5. Non-Routine Medical Supplies and Home Health Consolidated billing CMS Issue Number: C002982010.
    Automated Audit
    DME Non-Physician - Supplies
    DME Issues: Suppliers who bill CIGNA Government Services
    5/4/2011
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