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.
Related Products
-
Core Skills for Hospital Case Managers:
A guide to fundamental case management responsibilities, Core Skills for Hospital Case Managers serves as a training...
-
Combat RAC Denials: Strategies for Successful Appeals
During this 90-minute audio conference, our speakers provide step-by-step procedures, timelines, tools, and best practices...
-
The 2013 Medicare Compliance Forum: Las Vegas, NV
-
Level of Care Determinations for 2014: Las Vegas, NV
Attend the half-day seminar, Outpatient, Observation or Inpatient? Continuing to Walk the Tightrope of Regulatory Guidance...
-
OPPS and IPPS Reimbursement Fundamentals: Las Vegas, NV
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on October 2nd in Las Vegas. Learn how CMS’ substantial...
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Practice the six rights of medication administration
- Code diagnoses and outpatient treatment for PTSD
- What to include on the incident report
- Note similarities and differences between HCPCS, CPT® codes
- Complications from immobility by body system
- Q&A: Primary, principal, and secondary diagnoses
- OB services: Coding inside and outside of the package
- Differentiate between types of wound debridement
- Know guidelines and subtle differences in code descriptions for laceration repairs
- E-mailed
-
- New workplace violence training program focuses on healthcare settings
- Learn how one facility reduced bed turnaround time by 76%
- Improve meeting minutes with these seven tips
- Fracture coding in ICD-10-CM requires greater specificity
- Don't forget the three checks in medication administration
- Dig into the details of wound care documentation
- Correctly code for new cardiac, pulmonary rehab benefits
- Complications from immobility by body system
- CMS and AMA documentation guidelines for E/M codes don't always agree
- Clinically Speaking: Check CDI efforts related to functional quadriplegia
- Searched
