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 list and the RAC Approved Topics list, at any time. Please e-mail us at RAC@cms.hhs.gov. Please Do Not send Personal Health Information to this e-mail address.


Showing 1-3 of 3 entries
Issue Name Sort descending Review Type Provider Type MAC Jurisdiction Date Proposed
0A339-Therapy Claims Billed with KX Modifier, Medical Necessity, and Documentation Requirements Complex Outpatient Therapy, Professional Services All A/B MAC's
3A325-Wireless Capsule Endoscopy: Medical Necessity and Documentation Review. Complex Outpatient Hospital (OP), Ambulatory Surgical Center (ASC), Professional Services First Coast (JN), Palmetto (JJ, JM), Novitas (JH, JL), CGS (J15)
3A330-External Counterpulsation (ECP) Therapy for Severe Angina: Coverage Determination and Documentation Requirements Complex Professional Services All A/B MACs
Page Last Modified:
11/19/2024 05:53 PM