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HealthDataInsights welcomes you to RAC-Info!
Please take note of HealthDataInsights' (HDI) new mailing address below:
HealthDataInsights, Inc.
9275 West Russell Road, Ste. 100
Las Vegas, Nevada 89148

Important Provider Updates

01/16/2015:   Part A Post Payment “$3700 Therapy Threshold” Reviews
Recovery Auditors have received CMS approval to review Part A Post Payment Therapy claims that are over the $3700 threshold. For your convenience you may click on the New Issues link above to review the list of all Region D CMS Approved New Issues.

12/31/2014:   Recovery Auditor Program Extension
CMS has approved an extension of the Recovery Auditor Program.

10/24/2014:   MS-DRG Validation "Underpayments" Reviews
Recovery Auditors have received approval from CMS to begin MS DRG Validation “Underpayment” reviews as of October 24th, 2014. For your convenience you may click on the New Issues link above to review the list of all Region D CMS Approved New Issues.

10/14/2014:   Additional CMS Approved Complex New Issues
Recovery Auditors have received approval from CMS to immediately begin complex coding review for “Excessive Drug Units Billed” and “Insufficient Drug Units Billed”. “Insufficient Drug Units Billed” is the first “underpayment” review approved for Recovery Auditor review during the contract modification. As a result, HDI will begin sending Additional Documentation Requests (ADRs) to providers for these reviews within the upcoming weeks.

9/26/2014:   Recovery Auditor Contract Modification
Recovery Auditors have received approval from CMS to begin automated reviews as of August 27, 2014. In addition, the Recovery Auditors have received approval from CMS to begin DRG Validation Reviews as of September 8th, 2014. The Recovery Auditors will immediately begin reviewing all of the CMS previously approved Automated and DRG Validation Review New Issues.

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