Medicare auditors can request twice as many SNF medical records

Share this article:

Medicare recovery audit contractors (RACs) can now request twice as many resident medical records than previously allowed, according to the Centers for Medicare & Medicaid Services.

As of March 15, RACs can now ask skilled nursing facilities to provide up to 2% of all Medicare claims submitted in the prior calendar year, divided by 8, CMS said in a notice. Previously, auditors could only request 1% of records.

In response to a RAC's request for documentation, skilled nursing facilities must provide documentation for all claims related with a beneficiary's episode of care. That includes medical records for all services rendered from the date of admission to the final date of discharge.

What's more, CMS has the authority to allow RACs to exceed their 2%-limit.

Click here to read CMS' notice.

Share this article:

More in News

Long-term care continues to lead in deal volume and value: PwC report

Long-term care continues to lead in deal volume ...

Long-term care bucked healthcare industry trends with strong merger and acquisition activity in the second quarter of 2014, according to newly released data from professional services firm PricewaterhouseCoopers.

Empowering nurse practitioners could reduce hospitalizations from SNFs, study finds

Granting more authority to nurse practitioners is associated with reduced hospitalization of skilled nursing facility residents, according to recently published findings.

Pioneer ACO drops out of program, despite reductions in skilled nursing utilization

A California healthcare system has become the latest dropout from the Pioneer Accountable Care Organization program, despite reducing skilled nursing facility utilization and improving its readmission rates. Sharp HealthCare announced its decision in a quarterly financial statement released Tuesday.