CMS Proposes RAC Nationwide Audit of IRF Claims

Recently, the Centers for Medicare and Medicaid Services (CMS) posted to the Proposed Recovery Audit Contractor (RAC) Topics web page a proposed complex nationwide review/audit of inpatient rehabilitation facility (IRF) stays, to determine if they met the requirements to be considered reasonable and necessary.

As part of its updated process for initiating RAC audits, CMS now posts proposed topics on its website for public comment for 30 days. Providers can respond to CMS regarding this proposed audit by sending an email.