Region B Recovery Audit Contractor Posts New Audit Issues for DRG Validation

January 24th, 2010 admin

CGI , the Medicare recovery audit contractor (RAC) for Region B , recently added new CMS approved audit issues for RAC review. Specifically, it appears that CGI added a number of new CMS approved audit issues pertaining to inpatient claims and MS-DRG validation for all states within Region B. In brief, those issues appear to include: Acute Respiratory Failure: MS-DRG 189 Cardiac Defib Implant W Cardiac Cath W/O AMI/HF/Shock W MCC Cardiac Valve & Oth Maj Cardiothoracic Procedures w CC or MCC …


Originally posted on MedicareUpdate

 
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