Approved RAC Topics
Do you have questions or concerns about the Recovery Audit Program? Please e-mail us at RAC@cms.hhs.gov. Please Do Not send Personal Health Information to this e-mail address.
Note: CMS often receives referrals of potential improper payments from the MACs, UPICs, and Federal investigative agencies (e.g., OIG, DOJ). At CMS discretion, CMS may require the RAC to review claims, based on these referrals. These CMS-Required RAC reviews are conducted outside of the established ADR limits.
Showing 151-152 of 152 entries
Issue Name Sort descending | Review Type | Provider Type | MAC Jurisdiction | Date Approved |
---|---|---|---|---|
0221- Hospice Care- Extended Length of Stay: Medical Necessity and Documentation Requirements | Complex | Hospice | HH/Hospice MACs | |
0222-Non-Physician Billed Without Correct Assistant at Surgery Modifier: Incorrect Coding | Automated | Professional Services | All A/B MACs |