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Proposed RAC Topics | CMS - Centers for Medicare

    https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Recovery-Audit-Program/Proposed-RAC-Topics
    Medicare Fee for Service Recovery Audit Program 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 …

Approved RAC Topics | CMS - Centers for Medicare

    https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Recovery-Audit-Program/Approved-RAC-Topics
    Feb 1, 2017

Medicare Fee for Service Recovery Audit Program | CMS

    https://www.cms.gov/research-statistics-data-and-systems/monitoring-programs/medicare-ffs-compliance-programs/recovery-audit-program
    The Medicare Fee for Service (FFS) Recovery Audit Program’s mission is to identify and correct Medicare improper payments through the efficient detection and collection of …

0004 - Skilled Nursing Facility: Medical Necessity and

    https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Recovery-Audit-Program/Approved-RAC-Topics-Items/0004-Skilled-Nursing-Facility-Medical-Necessity-and-Documentation-Requirements
    Medicare Program Integrity Manual, Chapter 6- Medicare Contractor Medical Review Guidelines for Specific Services; §6.1- Medical Review of Skilled Nursing …

0137-Intravenous Hydration Administration: Medical …

    https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Recovery-Audit-Program/Approved-RAC-Topics-Items/0137-IV-Hydration-Administration
    5. Medicare Claims Processing Manual (MCPM) Chapter 17 – Drugs and Biologicals §10 – Payment Rules for Drugs and Biologicals; §40 – Discarded Drugs and …

ACEP // Recovery Audit Contractor (RAC) FAQ

    https://www.acep.org/administration/reimbursement/reimbursement-faqs/recovery-audit-contractor-rac-faq/
    Updated February 2021 Disclaimer The American College of Emergency Physicians (ACEP) has developed the Reimbursement & Coding FAQs and Pearls for informational …

Understanding Medicare Recovery Audit Contractor …

    https://www.medicalbillersandcoders.com/blog/understanding-medicare-recovery-audit-contractor-audit/
    As a combined effort to fight fraud, waste, and abuse in the Medicare program, Recovery Audit Contractor (RAC) audit was in place from January 1, 2010. The …

0135-Cardiac Rehabilitation: Medical Necessity and …

    https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Recovery-Audit-Program/Approved-RAC-Topics-Items/0135-Cardiac-Rehabilitation
    Description. Cardiac rehabilitation (CR) is a physician-supervised program that furnishes physician prescribed exercise, cardiac risk factor modification, psychosocial …

IRF Denials for Medical Necessity: Can We Defend Our …

    https://racmonitor.medlearn.com/irf-denials-for-medical-necessity-can-we-defend-our-admissions/
    The patient must require the active and ongoing therapeutic intervention of multiple therapy disciplines. The patient must generally require an intensive …

0183-Specialty Care Transport: Medical Necessity and

    https://www.cms.gov/httpswwwcmsgovresearch-statistics-data-and-systemsmonitoring-programsmedicare-ffs-compliance/0a221-specialty-care-transport-medical-necessity-and-documentation-requirements
    Specialty care transport (SCT) is the interfacility transportation of a critically injured or ill beneficiary by a ground ambulance vehicle, including the provision of …



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