Proposed RAC Topics

Proposed RAC Topics

Do you have questions or concerns about the Recovery Audit Program? CMS welcomes feedback on RAC Topics from both the RAC Proposed Topics list and the RAC Approved Topics list, at any time. Please e-mail us at RAC@cms.hhs.gov. Please Do Not send Personal Health Information to this e-mail address.


Showing 1-5 of 5 entries
Issue Name Sort descending Review Type Provider Type MAC Jurisdiction Date Proposed
2A323-Drugs and Biologicals in Multi-Dose Vials: Billed with JW Modifier Automated Outpatient Hospital, Professional Services All A/B MACs
3A325-Wireless Capsule Endoscopy: Medical Necessity and Documentation Review. Complex Outpatient Hospital (OP), Ambulatory Surgical Center (ASC), Professional Services JN, JJ, JH, JL
3A330-External Counterpulsation (ECP) Therapy for Severe Angina: Coverage Determination and Documentation Requirements Complex Professional Services All A/B MACs
4A334-Transitional Care Management: Unbundling Automated Professional Services (Physician/non-physician practitioner) All A/B MACs
4A336-Transitional Care Management: Excessive Units Automated Professional Services (Physician/non-physician practitioner) All A/B MACs
Page Last Modified:
09/10/2024 06:11 PM