Wachler & Associates Health Law BlogRecovery Audit Contractors (RACs) for three Regions post new issues for non-medical necessity DRG validation inpatient claims reviews
Region A: The RAC for Region A, DCS Healthcare, posted three new issues for non-medical necessity DRG validation inpatient claims review for providers in District of Columbia, Connecticut, Massachusetts, Maine, Delaware, New Jersey, New York, New Hampshire, Pennsylvania, Rhode Island, and Vermont.
Region B: Region B’s RAC, CGI, added 20 new issues for non-medical necessity DRG-validation inpatient claims to its CMS-approved list for providers in all Region B states.
Region C: Connolly Healthcare posted 30 new issues for non-medical necessity DRG validation inpatient claims review for providers in the following Region C states: Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee and Texas.
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