Newly approved Recovery Auditor issues-11/23/2015

According to the Cotiviti website, the new issue is:

For Outpatient Hospital (CMHC):

• Comprehensive Review: Partial Hospitalization Programs–OP. Documentation will be reviewed to determine if Partial Hospitalization Programs meet Medicare coverage criteria, meet applicable coding guidelines, and/or is medically reasonable and necessary.

* Please note that the information coming from the Recovery Auditor formerly known as Connolly is now found on the Cotiviti website.