RAC Monitor
Unclaimed or erroneous medical device credits remain an ongoing issue in the healthcare industry. A 2021 audit by the U.S. Department of Health and Human Services Office of Inspector General has identified five critical mistakes made by hospital and healthcare staff (and the systems they follow) that contribute to lost revenue, worse patient experiences, and beyond.
These mistakes include:
- Not pursuing available credits
- Miscalculating credit thresholds
- Misidentifying devices
- Misreporting or omitting modifiers
- Overlooking line item adjustments
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