Recovery Audit Contractor (“RAC”) Vendor for Region C Publishes Approved Audit Issues

The Recovery Audit Contractor (“RAC”) vendor for Region C, Connolly Consulting (presently acting in South Carolina and Florida), has published its initial approved audit issues. Medicare providers and suppliers in these states can expect RAC auditing to begin soon in following areas, including:

• Blood Transfusions • Untimed codes • IV Hydration Therapy • Bronchoscopy Services • Once in a lifetime procedures • Pediatric codes exceeding age parameters • J2505: Injection, Pegfilgrastim, 6 mg.

Providers should be aware, however, that even if Connolly Consulting does not act in their state, this could be the beginning of a precedent for auditing in the remaining regions.

For more information, please contact Abby Pendleton, Esq. or Jessica L. Gustafson, Esq. at (248) 996-8510, visit the RAC Specialty Page, or visit The HLP website.