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MEDICARE RAC CERTIFICATE POSSIBLE PROGRAM PRECONFERENCE READINGS
  1. GAO Report May 2012: Opportunities for Financial Savings and Program Improvements in Medicare and Medicaid Remain
    http://www.medicaremedicaidpaymentsummit.com/readings/GAO_Report_Medicare_Payment_May_2012.pdf

  2. CMS Information on Part A to Part B Rebilling Demonstration
    https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/CERT/Part_A_to_Part_B_Rebilling_Demonstration.html

  3. CMS Document - Recovery Auditor Prepayment Review Demonstration
    http://www.medicaremedicaidpaymentsummit.com/readings/CMS_Document-RAC_Prepay_Review.pdf

  4. CMS Proposed Rile: Medicare Program; Reporting and Returning of Overpayments (60-day Rule)
    http://www.medicaremedicaidpaymentsummit.com/readings/CMS_MLN_Doc_MM7688-Revised_Recoupment.pdf

  5. AHA RACTrac Repiet - Q4 2011
    http://www.medicaremedicaidpaymentsummit.com/readings/AHA_RacTrac_Report-Q4_2011.pdf

  6. CMS MLN MM7688 -- Feb 2012 -- Immediate Recoupment for Fee for Service Claims Overpayments
    http://www.medicaremedicaidpaymentsummit.com/readings/CMS_Rule_re_Return_Overpay_60-days.pdf

  7. CMS RAC Update - Q1 FY 2012
    http://www.medicaremedicaidpaymentsummit.com/readings/CMS_RAC_Update_Q1_FY2012.pdf

  8. CMS MLN SE 1110 - Medicare Pilot Project for Electronic Submission of Medical Documentation (esMD)
    http://www.medicaremedicaidpaymentsummit.com/readings/CMS_MLN_SE1110_esMD.pdf

  9. CMS MLN Matters #SE1036 -- December 2010 -- Recovery Audit Contractor (RAC) Demonstration High-Risk Vulnerabilities for Physicians -- Excessive Units of Service and Duplicate Claims
    http://www.medicaremedicaidpaymentsummit.com/resources/CMS_MLN_SE1036_-_Physician_Risk.pdf

  10. CMS Federal Register Notice November 10, 2010 re Medicaid RACs
    http://www.medicaremedicaidpaymentsummit.com/readings/CMS_Fed_Reg_re_Medicaid_RAC_11-10.pdf

  11. Medicare Claim Review Programs: MR, NCCI Edits, MUEs, CERT, and RAC
    http://www.medicaremedicaidpaymentsummit.com/readings/CMS_Summary_of_Medicare_Review_Programs_October_2010

  12. CMS MLN Matters # SE1024 -- July 12, 2010 -- Recovery Audit Contractor (RAC) Demonstration High-Risk Vulnerabilities -- No Documentation or Insufficient Documentation Submitted
    http://www.medicaremedicaidpaymentsummit.com/resources/MLNMatters_July12.pdf

  13. CMS MLN Matters # SE1027 -- Recovery Audit Contractor (RAC) Demonstration High-Risk Medical Necessity Vulnerabilities for Inpatient Hospitals
    http://www.medicaremedicaidpaymentsummit.com/resources/CMS_MLN_SE1027_Inpatient_Med_Nec.pdf

  14. CMS MLN Matters # SE1028 -- RAC Demonstration High-Risk Diagnosis Related Group (DRG) Coding Vulnerabilities for Inpatient Hospitals
    http://www.medicaremedicaidpaymentsummit.com/resources/CMS_MLM_SE_1028_Inpatient_Coding.pdf

  15. AHIMA. "Guidance for Clinical Documentation Improvement Programs." Journal of AHIMA 81, no.5 (May 2010): expanded web version.
    http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_047343.hcsp?dDocName=bok1_047343

  16. CMS Frequently Asked Questions about RAC
    http://questions.cms.hhs.gov/app/answers/list#s=eyJzZiI6eyIxMDM0MTkiOnsiZmlsdGVycyI6eyJub190cnVuY2F0ZSI6MC
    wicGFnZSI6MSwic2VhcmNoVHlwZSI6eyJmaWx0ZXJzIjp7ImRhdGEiOjV9fSwia2V5d29yZCI6eyJmaWx0ZXJzIjp7ImRhd
    GEiOiJSQUMifX0sInAiOnsiZmlsdGVycyI6eyJkYXRhIjp7IjAiOltdfX19LCJjIjp7ImZpbHRlcnMiO
    nsiZGF0YSI6eyIwIjpudWxsfX19LCJzb3J0X2FyZ3MiOnsiZmlsdGVycyI6eyJkYX
    RhIjp7ImNvbF9pZCI6Ii0xIiwic29ydF9kaXJlY3Rpb24iOiIxIn19fX19fSwiYyI6NX0






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