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Region C Medicare Recovery Audit Contractor Posts New CMS Approved Audit Issues
Connolly Healthcare, the Medicare recovery audit contractor (RAC) for Region C, recently updated its CMS approved audit issues for RAC review. Specifically, Connolly Healthcare recently posted at least 21 new CMS approved audit issues on its webs...
Region C Medicare Recovery Audit Contractor Adds New CMS Approved Audit Issue
Connolly Healthcare, the Medicare recovery audit contractor (RAC) for Region C, recently posted a new CMS approved audit issue for RAC review on its website.The title of the new CMS approved audit issue is "Medically Unlikely Edit List" and it appli...
Region A Medicare Recovery Audit Contractor Adds New CMS Approved Audit Issues
DCS Healthcare (DCS), the Medicare recovery audit contractor (RAC) for Region A, recently posted new CMS approved audit issues for automated RAC review on its website. The titles of the new CMS approved audit issues are listed below and apply to DME...
Region D Medicare Recovery Audit Contractor Adds New CMS Approved Audit Issues
HealthDataInsights, Inc. (HDI), the Medicare recovery audit contractor (RAC) for Region D, recently posted new CMS approved audit issues for RAC review on its website. The titles of the new CMS approved audit issues are listed below and apply to al...
Region A Medicare Recovery Audit Contractor Adds New CMS Approved Audit Issue
DCS Healthcare (DCS), the Medicare recovery audit contractor (RAC) for Region A, recently posted a new CMS approved audit issue for automated RAC review on its website. The new CMS approved audit issue is titled "Clinical Social Worker (CSW) Servic...
Region D Medicare Recovery Audit Contractor Adds New CMS Approved Audit Issue
HealthDataInsights, Inc. (HDI), the Medicare recovery audit contractor (RAC) for Region D, recently posted a new CMS approved audit issue for RAC review on its website. The new CMS approved audit issue is titled "Facility vs. Non-Facility Reimburs...
Region C Recovery Audit Contractor Posts New Audit Issues for DRG Validation
Connolly Healthcare, the Medicare recovery audit contractor (RAC) for Region C, recently updated its CMS approved audit issues for RAC review. Specifically, Connolly Healthcare recently posted at least 24 new CMS approved audit issues on its webs...
CMS Releases FY 2010 RAC Additional Documentation Request Limits for DRG Validation
The Centers for Medicare & Medicaid Services (CMS) recently released new additional documentation request limitations for the Medicare Recovery Audit Contractor (RAC) program in fiscal year (FY) 2010.According to the new document released by CMS,...
Senate Health Care Reform Bill Provides for Recovery Audit Contractor Expansion
In Section 6411 of the Patient Protection and Affordable Care Act (H.R.3590), the Senate Democratic health care reform bill provides for the expansion of the Recovery Audit Contractor (RAC) program.Specifically, Section 6411 provides for the Medicare...
CMS Posts New FAQ on HCPCS/CPT Codes and Medicare Recovery Audit Contractors
On November 17, 2009, the Centers for Medicare & Medicaid Services (CMS) posted a new Frequently Asked Question (FAQ) on the Medicare Recovery Audit Contractor (RAC) Program. As reflected on the CMS website, the new FAQ reads as follows:Feedba...
Region D Medicare Recovery Audit Contractor Adds New CMS Approved Audit Issue
HealthDataInsights, Inc. (HDI), the Medicare recovery audit contractor (RAC) for Region D, recently posted a new CMS approved audit issue for RAC review on its website. The new CMS approved audit issue is titled "Global vs TC/PC" and applies to Pa...
Region D Medicare Recovery Audit Contractor Adds New CMS Approved Audit Issue
HealthDataInsights, Inc. (HDI), the Medicare recovery audit contractor (RAC) for Region D, recently posted a new CMS approved audit issue for RAC review on its website. The new CMS approved audit issue is titled "DMEPOS while patient is in a Cover...
Region D Medicare Recovery Audit Contractor Adds New CMS Approved Audit Issue
HealthDataInsights, Inc. (HDI), the Medicare recovery audit contractor (RAC) for Region D, recently posted a new CMS approved audit issue for RAC review on its website. The new CMS approved audit issue is titled "Infusion Pump Denied/Accessories &a...
Region D Recovery Audit Contractor Adds New CMS Approved Audit Issue
HealthDataInsights, Inc. (HDI), the Medicare recovery audit contractor (RAC) for Region D, recently posted a new CMS approved audit issue for RAC review on its website. The new CMS approved audit issue is titled "PEN supplies more than 1 time a day...
Region D Recovery Audit Contractor Posts New CMS Approved Audit Issue
HealthDataInsights, Inc. (HDI), the Medicare recovery audit contractor (RAC) for Region D, appears to have recently posted a new CMS approved audit issue for RAC review on its website. The new CMS approved audit issue is knee orthotic bundling and ...
Medicare Fraud and Recovery Audit Contractor Program
Over the last 2 weeks, I have received a number of inquiries about the Medicare Recovery Audit Contractor (RAC) Program with an apparent common theme or assumption. That is, the sole purpose of the Medicare RAC program is to identify Medicare fraud.T...
CMS Posts FAQ on Code N432 and Medicare Recovery Audit Contractors
On October 15, 2009, the Centers for Medicare & Medicaid Services (CMS) posted a new Frequently Asked Question (FAQ) on the Medicare Recovery Audit Contractor (RAC) Program. As reflected on the CMS website, the new FAQ reads as follows: FeedbackWill ...
Region B Recovery Audit Contractor Updates CMS Approved Audit Issues
CGI, the Medicare recovery audit contractor (RAC) for Region B, recently updated its CMS approved audit issues for RAC review. The new CMS approved audit issues pertain to overpayments made to outpatient hospitals and physicians in all states within ...
Region D Recovery Audit Contractor Updates CMS Approved Audit Issues
HealthDataInsights, Inc. (HDI), the Medicare recovery audit contractor (RAC) for Region D, appears to have recently posted 2 new CMS approved audit issues for RAC review on its website. The 2 new CMS approved audit issues pertain to durable medical e...
CMS Posts New FAQ on Medicare Recovery Audit Contractor Program
On September 30, 2009, the Centers for Medicare & Medicaid Services (CMS) posted a new Frequently Asked Question (FAQ) on the Medicare Recovery Audit Contractor (RAC) Program. As reflected on the CMS website, the new FAQ reads as follows:Feedb...
CMS Publishes New FAQ on Medicare Recovery Audit Contractor Program
On September 25, 2009, the Centers for Medicare & Medicaid Services (CMS) posted a new Frequently Asked Question (FAQ) on the Medicare Recovery Audit Contractor (RAC) Program. The new FAQ addresses the RAC discussion period. As reflected on the...
CMS Announces Additional Recovery Audit Contractor Outreach Sessions
The Centers for Medicare & Medicaid Services (CMS) recently announced that it will host provider outreach sessions on the Medicare recovery audit contractor (RAC) program in San Luis Obispo, CA and Santa Barbara, CA. These outreach sessions will ...
CMS Approved Audit Issues Posted for Region A Recovery Audit Contractor
DCS Healthcare, the Medicare recovery audit contractor (RAC) for Region A, recently posted CMS approved audit issues for automated RAC review on its website. Specifically, DCS Healthcare posted CMS approved audit issues for suppliers of durable medic...
CMS Releases Transmittal on Local Coverage Determination Exceptions
The Centers for Medicare & Medicaid Services (CMS) recently released CMS Transmittal 302, which updates the Medicare Program Integrity Manual (CMS Pub. 100-08). CMS Transmittal 302 addresses local coverage determination (LCD) exceptions and indicates...
Region C Recovery Audit Contractor Adds New State to CMS Approved Audit Issues
Connolly Healthcare, the Medicare recovery audit contractor (RAC) for Region C, recently updated its CMS approved audit issues for RAC review. Specifically, Connolly Healthcare expanded certain CMS approved audit issues for outpatient hospitals and p...
Region C Recovery Audit Contractor Adds States to CMS Approved Audit Issues
Connolly Healthcare, the Medicare recovery audit contractor (RAC) for Region C, continues to update its CMS approved audit issues for RAC review. In fact, Connolly Healthcare recently expanded certain CMS approved audit issues for outpatient hospital...
Region C Recovery Audit Contractor Updates CMS Approved Audit Issues
Connolly Healthcare, the Medicare recovery audit contractor (RAC) for Region C, recently updated its CMS approved audit issues for RAC review to include 2 issues for suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS)...
CMS Approved Audit Issues Posted for Region B Recovery Audit Contractor
CGI, the Medicare recovery audit contractor (RAC) for Region B, recently posted its first group of CMS approved audit issues for RAC review. For now, the CMS approved audit issues are limited to overpayments made to outpatient hospitals and physician...
Region C Recovery Audit Contractor Updates CMS Approved Audit Issues
Connolly Healthcare, the Medicare recovery audit contractor (RAC) for Region C, recently updated its CMS approved audit issues for RAC review to include clinical social worker (CSW) services. For now, the CSW services audit issue will only affect CSW...
CMS Approved Audit Issues Posted for Region D Recovery Audit Contractor
HealthDataInsights, Inc. (HDI), the Medicare recovery audit contractor (RAC) for Region D, recently launched its RAC website and posted the first group of CMS approved audit issues for RAC review. On its RAC website, HDI identifies 7 CMS approved aud...
