News Headlines Article

CMS OKs ‘Medical Necessity’ Reviews for RAC
Health Leaders Media

The long wait for medical necessity Recovery Audit Contractor (RAC) reviews will soon be over. The Centers for Medicare & Medicaid Services (CMS) has approved the first “medical necessity review” audits for the recovery audit contractor (RAC) program, according to a staetment by the American Hospital Association(AHA). “This should certainly not come as a surprise to providers,” said Debbie Mackaman RHIA, CHCO, regulatory specialist for HCPro, Inc. “We’ve been waiting for these reviews since the implementation of the permanent program, often wondering what might be taking so long.”