Legislative Updates

Connolly Posts New CMS-Approved RAC Audit Issues


Posted on: 1/13/2010

Connolly Healthcare, the Recovery Audit Contractor (RAC) for Region C, has recently updated its list of CMS-approved RAC audit issues for all states in Region C.

New DME issues include: Budesonide – dose vs. billed units, J7605 Arformoterol, (Brovana), and Q4099 Formoterol fumarate (perforomist). New issues regarding outpatient hospital claims include: Medically Unlikely Edit list; Nebulizer, demonstration and evaluation units billed; Adenosine – dose vs. units billed; and Barium swallow studies units billed. Connolly also added 36 issues regarding non-medical necessity DRG validation review.

For more information, click here.

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