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For Immediate Release
Dec 15, 2011
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RAC (Recovery Audit Contractor for Medicare) is at OMC

- Ocean has been receiving audit requests every 45 days averaging 70 medical records per request. RAC is looking at DRG Coding Accuracy and Medical Necessity for hospital stay. For medical necessity, RAC focuses on the severity of illness and intensity of service appropriate for acute care setting. Physician documentation to support medical necessity is vital. We have information on the most common diagnoses available to you here on the Extranet. If you have any questions, please talk to a case manager on the unit. You may also contact the Physician Advisors for Case Management: Drs. Rocco Giliberti and Kenneth Kronhaus at 732-840-3372.

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