CMS Posts New Proposed RAC Review Topics
The Centers for Medicare & Medicaid Services (CMS) has posted 10 new proposed Recovery Audit Contractor (RAC) Review Topics to its website for a 30-day comment period. CMS began posting the proposed review topics last year in response to specialty societies that wanted to have the opportunity to provide feedback before the review topics are finalized. There are a few proposed review topics of particular interest to Society members (click the on the link above for a list of all 10 proposed review topics):
- 4A096-Facility vs. Non Facility Reimbursement
- 4A109-Skilled Nursing Facility (SNF) Consolidated Billing Part B (Full)
- 4A110-Skilled Nursing Facility (SNF) Consolidated Billing Part B (Partial)
- 4A116-MCP (Monthly Capitation Payment) for ESRD (End-Stage Renal Disease) Receiving 4 or more visits per month
- 5A106-DME while in Hospice
The proposed review topics will be available for review until September 6. After the 30th day, the review topics will be approved by CMS, at which point the RAC(s) will post the topics to their respective websites for an additional 14 days, prior to beginning the reviews.
Please submit feedback or comments to RAC@cms.hhs.gov.