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Proposed 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.

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Issue Name Review Type Claim Type Region and State Date Posted
4A122-Consultation Services not covered under Part B Automated Outpatient Hospital RACs 1-4
All A/B MACs
2018-10-09
4A126-Outpatient Hospice-Related Services Automated Part A Outpatient RACs 1-4
All A/B MACs
2018-10-09
4A127-Technical Component (TC) of Diagnostic Procedure during an Inpatient Stay Automated Physician/Non-physician Practitioner, Independent Diagnostic Testing Facility (IDTF) RACs 1-4
All A/B MACs
2018-10-09
4A135-Excessive Units of Destruction of Premalignant Lesions Automated Outpatient Hospital RACs 1-4
All A/B MACs
10/09/2018
4A141-Endoscopy Procedures Diagnostic and Surgical Same Day Automated Outpatient Facility, ASC,Professional Services RACs 1-4
All A/B MACs
10/09/2018
4A128-Part B Therapies in a Hospital Setting (Inpatient) Automated Physician/Non-Physician Practitioner Services RACs 1-4
All A/B MACs
10/09/2018
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