The latest CMS RAC Review Phase –in Strategy released 6/24/09

Earliest possible dates for review in yellow/green states:

• Automated review – Black and white issues ( June 2009)
• DRG  Validation- complex review ( Aug/Sept 2009)
• Complex Review for coding errors ( August /Sept 2009)
• DME Medical Necessity Reviews- complex review (Fiscal year 2010)
• Medical Necessity Reviews- complex review( calendar year 2010)

Earliest possible dates for reviews in blue states:

• Automated review – Black and white issues ( August 2009)
• DRG  Validation- complex review ( Oct/Nov 2009)
• Complex Review for coding errors (Oct/Nov 2009)
• DME Medical Necessity Reviews- complex review (Fiscal year 2010)
• Medical Necessity Reviews- complex review( calendar year 2010)

See if you are yellow/green or blue state at the www.cms.hhs.gov/RAC . If your facility is under RAC denials YPRO's RAC-AIDE will provide denial assistance. We provide you with the tracking and appeal know-how to work the RAC appeal system. Click here to find out more.

Request a complete RAC-AIDE information profile for your hospital.