News & Analysis

April 1, 2010
Case Management Monthly

Experts expect the RACs to begin auditing medical necessity this summer. Case managers may be asked to play a large role in appealing medical necessity denials because of their involvement in level-of-care determinations. To help case managers, we asked Medicare appeals experts to explain the case manager’s role in the appeals process.

January 1, 2010
HIM Briefings

HCPro’s “RAC Preparedness Benchmarking Report” shows that HIM directors play a significant role in RAC preparation.