12.28.09 – Region C Medicare Recovery Audit Contractor Adds New CMS Approved Audit Issue

Connolly Healthcare, the Medicare recovery audit contractor (RAC) for Region C, recently posted a new CMS approved audit issue for RAC review on its website.

The title of the new CMS approved audit issue is “Medically Unlikely Edit List” and it applies to all states and territories in Region C. Region C includes Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, North Carolina, New Mexico, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virginia, Virgin Islands and West Virginia. The provider type affected is outpatient hospitals.

More information on the new CMS approved audit issue for Region C can be found here.