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CMS Issues Guidance on Hospital Inpatient Admissions
Health Leaders Media

Medical necessity determinations are not just a hot button issue with Recovery Audit Contractors RACs, but also with the other ‘usual suspect’ government auditors: Medicare administrative contractors (MACs), fiscal intermediaries (FIs), and comprehensive error rate testing (CERT) contractors. So much, in fact, that CMS has released educational guidance to assist hospitals regarding inpatient admission decisions.