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RAC for Region A Adds New Issues for Medical Necessity Review

Recently the RAC for Region A, DCS Healthcare (DCS), added new issues for medical necessity reviews to its list of approved issues. DCS approved nine medical necessity issues, including Respiratory (limited to MS-DRG 190, 191, and 192), Gastro Intestinal Disorders (limited to MS-DRGs 391 and 393) and Diseases and Disorders of Blood, Blood Forming Organs and Immunological Disorders (limited to MS-DRG 811).  RACs for Region B, C and D have also approved medical necessity reviews for certain MS-DRGs.

For more information on RAC approved issues or if you need assistance with a Medicare audit, please visit or contract a Wachler & Associates attorney at 248-544-0888.

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