Revenue Cycle

Recent RAC activity

Medicare Update for CAHs, October 19, 2011

DCS Healthcare posts four new issues for medical necessity claims

DCS Healthcare posted four new issues for medical necessity claims to its CMS-approved list for providers in Maryland.

View the issues from October 4 here.

CGI posts four new issues across three categories, including first for ’semi-automated’ review

CGI, the RAC for Region B, added four new issues across three categories—two for professional services claims, one for DME claims, and one for outpatient hospital claims—to its CMS-approved list for providers in all Region B states.

View the issues from October 3 here.

Connolly adds 33 new issues across nine categories

Since April 14, Connolly Healthcare added 33 new issues across nine categories—Seven for physician claims, one for physician (carrier) claims, two for inpatient hospital claims, one for carrier claims, six for outpatient hospital – unspecified claims, nine for inpatient hospital – acute care claims, one for other FI biller claims, one for outpatient hospital – ASC claims, and five for DME non-physician – supplies claims—to its CMS-approved list for providers in Region C states. (See link for individual state applicability.)

View the issues from October 5 here.

HealthDataInsights posts 36 new issues for medical necessity claims

HealthDataInsights (HDI) added 36 new issues for medical necessity claims to its CMS-approved list for providers in all Region D states.

View the issues from October 5 here.

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