Approved RAC Topics
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Note: CMS often receives referrals of potential improper payments from the MACs, UPICs, and Federal investigative agencies (e.g., OIG, DOJ). At CMS discretion, CMS may require the RAC to review claims, based on these referrals. These CMS-Required RAC reviews are conducted outside of the established ADR limits.
Showing 151-151 of 151 entries
Issue Name | Review Type | Provider Type | MAC Jurisdiction Sort descending | Date Approved |
---|---|---|---|---|
0003 - Sacral Neurostimulation: Medical Necessity and Documentation Requirements | Complex | Ambulatory Surgical Center (ASC); Inpatient Hospital; Outpatient Hospital; Professional Services | Urinary incontinence- All A/B MACs Fecal incontinence- JE, JF, JH, JL, JN, J15 |