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Compliance risk areas: Approved RAC topics and SMRC current projects

Catherine Boerner (cboerner@boernerconsultingllc.com) 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 https://go.cms.gov/2tKqhe4. 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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