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 1-4 of 4 entries
Issue Name Sort descending Review Type Provider Type MAC Jurisdiction Date Proposed
4A346-Intraosseous Basivertebral Nerve Ablation: Medical Necessity and Documentation Requirements Complex Ambulatory Surgical Center (ASC); Outpatient Hospital Noridian JE/JF; Palmetto JJ/JM; Wellpoint Federal J6/JK
5A341-Home Health Services Related to Terminal Diagnosis Billed During a Hospice Episode of Care Automated Home Health Agency (HHA) HHA MACs
5A342-Silicone Breast Prostheses within the Reasonable Useful Lifetime Excessive Units Automated DME Physician; DME Supplier DME MACs
5A345-Lower Limb Prosthetics: Coverage of Additions Billed with Initial/Preparatory Prosthesis Automated DME by Supplier/DME by Physician DME MACs
Page Last Modified:
11/19/2024 05:53 PM