Commentary

Medicaid Primer 2012: Avoiding the RAC


 

We are entering a new milieu of CPT coding and compliance. Higher coding may not be as desirable as "more accurate" coding. Hiding below the radar by not entering CPT outlier territory may be more preferable than being a well-reimbursed CPT outlier with your office serving as a bull’s eye for target practice by your friendly neighborhood state RAC auditor.

Dr. Cohen is in general pediatric practice and a board member of Children’s Primary Care Medical Group, Inc. of San Diego, and assistant professor of pediatrics at the University of California, San Diego. He is vice chair of the American Academy of Pediatrics, District 9 and president of the San Diego County Medical Society Foundation. He has represented the American Academy of Pediatrics at the American Medical Association for many years. He stated that he had no relevant financial disclosures.

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