ABSTRACT
There are dozens, if not hundreds, of known issues. We have discussed a number of these issues in Chapters 3 to 5, which will continue on into Chapter 7. Thus, at the beginning the RACs will almost have a catalog of possible issues, some of which have been tested during the demonstration project. Other issues have been identified by the Office of the Inspector General (OIG) and Medicare audit programs. For instance, a simple issue is that of incorrectly billing for two transfusions, CPT code 36430, on the same day for the same patient.
