Revenue Cycle

Recent RAC activity

Recovery Auditor Report, May 5, 2011

DCS Healthcare posts 23 new issues for medical necessity claims

DCS Healthcare added 23 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 27 here.

View the issues from May 3 here.

CGI adds new issue for DRG validation claims

CGI, the RAC for Region B, added a new issue for DRG validation claims to its CMS-approved list for providers in all Region B states.

View the issue from April 21 here.

HealthDataInsights posts 33 new issues across three categories

HealthDataInsights (HDI) added 33 new issues across three categories— 27 for medical necessity claims, five for Part B claims and one for Part A inpatient claims— to its CMS-approved list for all providers in Region D states.

View the issues from April 21 here.

View the issues from April 28 here.

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