The Latest News
Medical Coding Billing & Compliance News
compiled by Team eduTrax
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Written by Team eduTrax
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Monday, 23 August 2010 00:00 |
HDI Posts No New Issues, 29 DRGs Now Approved Medical Necessity Reviews
Health Data Insights (HDI), the CMS Recovery Audit Contractor (RAC) contracted for reviews of Medicare claims in 17 western states, posted approvals for the review of both medical necessity and DRG Validation for previously approved and listed issues including 29 DRGs, effective August 16, 2010. HDI is now approved to review medical necessity for the same DRGs recently approved by CMS for CGI, the RAC for Region B. No new issues were posted by HDI, since all the DRGs involved were already approved for DRG Validation previously.
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Written by Team eduTrax
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Friday, 13 August 2010 00:00 |
CGI Posts 9 New DRGs plus 20 Previously Only Approved for DRG Validation
CGI Federal, the Recovery Audit Contractor (RAC) for CMS Region B, posted seven new issues on August 12, 2010, including their first nine (9) DRGs approved for review of Medical Necessity and DRG Validation. The RAC also added another 20 DRGs as approved for review of Medical Necessity. These 20, however, were buried within the web pages and were not listed as new issues. Instead, the "Issue Name" fields on the CGI Approved Issues pages were simply changed to note which DRGs were or were not yet approved for Medical Necessity. eduTrax will release
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Written by Team eduTrax
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Thursday, 12 August 2010 00:00 |
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DCS Healthcare, the Recovery Audit Contractor (RAC) for CMS Region A, posted two new issues on August 11, 2010, including their first non-DRG Validation issue approved as a Complex Reveiw. Medical Necessity is still not approved for review,
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Written by Team eduTrax
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Wednesday, 04 August 2010 00:00 |
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Connolly Healthcare, the Recovery Audit Contractor (RAC) for CMS Region C, posted nine new issues including two new DRG Validations, late on August 3, 2010. Medical Necessity is still not approved for review.
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Last Updated on Thursday, 12 August 2010 17:02 |
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