| RACs Post New Issues in June |
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Three of the four CMS Recovery Audit Contractors (RACs) posted new issues in the first two weeks of June, including 39 DRG Validations issues. The Region A RAC, DCS, has also posted an approved issue to review Evaluation & Management (E&M) codes for New Patient visits, mirroring the same issues already approved for other RACs. Despite recent reports that issues including review of Medical Necessity have already been approved by CMS in at least one region, none of the RACs have yet to post any such approved issues.
The new issues are listed below, including links to their descriptions in the eduTrax® RAC New Issues pages. To see those pages, you will need to login to the eduTrax main site. Registration on the site is still free.
Region AThe RAC for Region A (DCS) posted several new issues, mostly for Automated Review:
Region CConnolly added two DRG Validations and one issue for Automated review:
Region DHDI added a single issue for Automated review:
Making Your Own Lists?We know how hard it is to do. To find a free complete, sortable listing of all their posted issues, visit this page on eduTrax. (Registration required.) We recommend viewing the list, sorted by Approved Date.When Will Medical Necessity Reviews Begin?No one knows but the RACs, and so far, they ain't sayin'. BUT -- If you would like to be notified by email whenever they do get posted, simply to the click here to subscribe for free to the eduTrax RAC New Issues Alert Service®. We post new issues, as in this article, and will send out an email notice immediately when medical necessity issues begin posting on the RAC websites. |