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Compliance risk areas: Approved RAC topics and SMRC current projects

Catherine Boerner ( is President of Boerner Consulting, LLC, in New Berlin, WI.

I am sure you never feel like you have a shortage of compliance risk areas to look into. To help you prioritize, I recommend you review the list of “Approved RAC Topics” on the CMS website at You can sort the online table by “Provider Type” to help narrow down what areas are applicable to your organization.

What I like about the listing is that you can find all the applicable regulatory citations to include in the background for your compliance risk assessment. For example, under 0073-Inpatient Rehabilitation Facility (IRF) Stays: Meeting Requirements to be considered Reasonable and Necessary, when you click on the area, you will find this list of “Applicable Policy References” that includes:

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