New RAC issue: Drug screening claims face audit scrutiny
Effective Sep 19, 2013
Published Sep 19, 2013
Last Reviewed Mar 14, 2014
Your revenue is at risk if your practice regularly bills urine drug tests thanks to a new recovery auditor (RAC) target. HealthDataInsights, the RAC for Region D — Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming — is going after G0431 (High complexity test) and G0434 (CLIA-waived or moderate-complexity test) for excessive billing. In particular, HDI is concerned with billing the G-codes per drug that is tested.
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