Newly approved Recovery Auditor issues - 03/30/2016

March 30, 2016

Medicare Insider

Cotiviti posted one new issue in one category to its CMS list for providers in Region C. (See link for individual state applicability.)

According to the Cotiviti website, the new issue is:

For Outpatient Hospital / Physician:

Comprehensive Review: Cataract Surgery–OP/Carr-C000462015. Documentation will be reviewed to determine if Cataract Surgery meets Medicare coverage criteria, meets applicable coding guidelines, and/or is medically reasonable and necessary. Applicable region C states.