RACs Add More: Expect Medical Necessity Soon
| RACs Add More: Expect Medical Necessity Soon |
| Written by Team eduTrax |
| Wednesday, 19 May 2010 00:00 |
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During the May 5, 2010 RAC 101 Conference Call, Scott Wakefield, a CMS RAC Project Manager stated that providers may begin to receive RAC medical necessity reviews “within the next month or so.” According to one observer we spoke to, he seemed somewhat surprised that no such reviews have been posted by the RACs, as yet, and intimated that such issues had already been approved. Meanwhile, more issues have been posted by all four RACs in the past two weeks. A list of those new issues appears below. All issues for Complex Review still include a statement that medical necessity is excluded from review, at this time.
The links below display individual listings of the RAC postings, as copied into the eduTrax RAC New Issues database. Viewing the articles does require registration on this site. Registration is free, however. Region AMS-DRG Validation for HIV -- Reviewers will validate claims where diagnosis code 042 for HIV was billed as secondary. Region BKnee Orthoses -- concerns certain additions not being separately payable. Region CRegion DPart B Duplicates - Automated Review Links to the RAC WebsitesTo see the complete original listings (on the RAC websites), visit this page. (Registration is not required to view this page.)
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| Last Updated on Saturday, 22 May 2010 21:15 |
