CMS RAC HDI Posts 20 Issues for Medical Necessity Review in August
HDI, the CMS Recovery Audit Contractor for Region D, posted 20 new issues approved by CMS for Medical Necessity Review , during the first three weeks of August, 2011.
We have renamed the issues as usual, to make them more usable for searching and sorting. Also, we list them below in numberical order of the MSDRGs:
- MSDRG 056: Degenerative Nervous System Disorders w/MCC
- MSDRG 057: Degenerative Nervous System Disorders w/o MCC
- MSDRG 060: Multiple Sclerosis & Cerebellar Ataxia w/o CC/MCC
- MSDRG 062: Acute Ischemic Stroke w/ use of Thrombolytic Agent w/CC
- MSDRG 064: Intracranial Hemorrhage or Cerebral Infarction w/MCC
- MSDRG 065: Intracranial Hemorrhage or Cerebral Infarction w/CC
- MSDRG 067: Nonspecific CVA & Precerebral Occlusion w/o Infarct w/MCC
- MSDRG 080: Nontraumatic Stupor & Coma w/MCC
- MSDRG 081: Nontraumatic Stupor & Coma w/o MCC
- MSDRG 082: Traumatic Stupor & Coma, Coma >1 Hr w/MCC
- MSDRG 083: Traumatic Stupor & Coma, Coma >1 hr w/CC
- MSDRG 085: Traumatic Stupor & Coma, Coma <1 hr w/MCC
- MSDRG 121: Acute Major Eye Infections w/CC/MCC
- MSDRG 123: Neurological Eye Disorders
- MSDRG 124: Other Disorders of the Eye w/MCC
- MSDRG 148: Ear, Nose, Mouth & Throat Malignancy w/o CC/MCC
- MSDRG 152: Otitis Media & URI w/MCC
- MSDRG 153: Otitis Media & URI w/o MCC
- MSDRG 728: Inflammation of the Male Reproductive System w/o MCC
- MSDRG 811: Red Blood Cell Disorders w/MCC
See the complete list of Region D issues.