Approved RAC Topics
Approved RAC Topics
Do you have questions or concerns about the Recovery Audit Program? Please e-mail us at RAC@cms.hhs.gov. Please Do Not send Personal Health Information to this e-mail address.
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 151-153 of 153 entries
| Issue Name | Review Type | Provider Type | MAC Jurisdiction | Date Approved |
|---|---|---|---|---|
| 0198-Deep Brain Stimulation- Inpatient Procedure: Medical Necessity and Documentation Requirements | Complex | Inpatient | All A/B MACs | |
| 0146-Computed Tomography Scans: Excessive Units | Automated | Outpatient Hospital; Professional Services | All A/B MACs | |
| 0184-Total Hip Arthroplasty: Medical Necessity and Documentation Requirements | Complex | Inpatient Hospital; Outpatient Hospital; Professional Services | J6, JE, JF, JH, JJ, JK, JL, JM, JN |
Page Last Modified:
09/06/2023 05:05 PM