| Track the following information: |
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Date Request Received |
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Account Number |
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Physician and Coder involved |
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Service Dates |
 |
DRG |
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Date Sent to RAC or auditing entity |
 |
Date of RAC/auditing entity Response |
 |
DRG Change Requested |
 |
New DRG |
 |
Explanation of HIM Response |
 |
Appeal tracking and documentation |
 |
Fiscal impact and Dollars at risk |
 |
Comments and document capture |