MCC Newsline
- MCC News Line, Fall 2009
- MCC News Line, Spring 2009
- MCC News Bulletin, Spring 2008
- A Message from CAC Representative
- Pinnacle Business Solutions, Inc.: Updated Medical Policies for ESAs
- Closure of CONCEPT Study
CMS-approved Audit Issues
HealthDataInsights, Inc., the Medicare Recovery Audit Contractor (RAC) for Region D, identified on its website CMS-approved audit issues.
The following claims will be edited automatically and monies recouped in these areas if they were billed incorrectly:
- Pegfilgastim claims not billed with the 6 mg unit of service
- Newborn pediatric CPT codes billed for patients exceeding age limit
- Once in a lifetime procedures
- Excessive units - Untimed codes
- Excessive units - Blood transfusions
- Excessive units - Bronchoscopy
- Excessive units - IV hydration
Posted 9/17/09
Anthem BCBS Announces Policy Change: Pre-Certs for Chemotherapy Drugs
