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AHA: More than $2 million in Medicare claims denied in first quarter
Modern Healthcare

Recovery audit contractors denied $2.47 million in Medicare claims to 437 hospitals in the first quarter of 2010, the American Hospital Association announced.

In the first results of its RACTrac survey, a quarterly poll designed by the AHA to track and summarize the RAC program’s impact, the AHA determined that the RAC contractors were engaging primarily in complex reviews, which use human review of medical records and other medical documentation to identify improper payments to providers.

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