Revenue Cycle

Recent RAC Activity

Recovery Auditor Report, September 2, 2010

DCS Healthcare posts two new RAC issues

DCS Healthcare, the RAC for Region A, added two new RAC issues for ambulatory surgical center claims (CT, DC, DE, MD, NJ, NY, PA) and non-medical necessity inpatient claims (CT, DC, DE, MA, ME, NH, NJ, NY, PA, RI, VT) to its CMS-approved list this week. View the new issues by visiting the DCS website.

CGI modifies two existing RAC issues

CGI, the RAC for Region B, modified two existing issues: Medical unlikely edit (MUEs) outpatient and medical unlikely edit (MUEs) professional.

View the updated issues by visiting the CGI website.

Connolly posts 18 medical necessity RAC issues

Connolly, the RAC for Region C, added 18 medical necessity issues to its CMS-approved list this week for providers in Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia (WPS only), West Virginia (WPS only)

View the updated issues by visiting the Connolly website.

HDI adds medical necessity to 10 existing issues; removes Part B issue

HealthDataInsights (HDI), the RAC for Region D, added medical necessity to 10 existing DRG validation issues for providers in all Region D states, and removed an issue for Part B claims.

View the new issues by visiting the HDI website.

 

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