Revenue Cycle

Recent RAC activity

Recovery Auditor Report, April 21, 2011

DCS Healthcare posts three new issues for medical necessity claims

DCS Healthcare added three new issues for medical necessity claims to its CMS-approved list for providers in Pennsylvania, the District of Columbia, New Jersey, Delaware, New York, Connecticut, Vermont, Maine, Massachusetts, New Hampshire, and Rhode Island.

View the issues from April 8 here.

CGI posts 11 new issues across three categories

CGI, the RAC for Region B, added eleven new issues across three categoriesfour for DME claims, three for medical necessity claims and four for DRG validation claims—to its CMS-approved list for providers in all Region B states.

View the issues from April 12 here.

View the issues from April 19 here.

Connolly Healthcare posts 32 new issues across four categories

Connolly Healthcare added 30 new issues across three categories— 17 for DRG validation claims, 12 for medical necessity claims, one for DME by physician claims and two for DME claims—to its CMS-approved list for providers in Region C states. (See link’s for individual state’s applicability.)

View the issues from April 12 here.

View the issues from April 14 here.

HealthDataInsights posts 19 new issues for medical necessity claims

 HealthDataInsights (HDI) added 19 new RAC issues for medical necessity claims review to its CMS-approved list for all providers in Region D states.

View the issues from April 12 here.

Most Popular