Revenue Cycle

Recent RAC activity

Recovery Auditor Report, February 10, 2011

CGI removes four DRG validations issues

CGI, the RAC for Region B, removed four DRG validation issues from its CMS-approved list for providers in all Region B states.
 
View an updated chart here.

Connolly adds 37 RAC issues across three categories

Connolly, the RAC for Region C, added 37 issues across three categories—one for outpatient hospital claims, 12 for DRG validation claims, and 24 for medical necessity claims—to its CMS-approved list for providers in all Region C states.

View the outpatient issue.

View the DRG validation and medical necessity issues.

DCS adds four issues for DRG validation claims

DCS, the RAC for Region D, added four issues for DRG validation to its CMS-approved list for providers in DC, CT, MA, ME, DE, NJ, NY, NH, PA, RI, and VT.

View the issues here.

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