Recovery Audit Contractor Adds Continuous Home Care Issue

The Recovery Audit Contractor (RAC), Performant, added a hospice issue this month to the list of CMS-approved issues, Issue 0201 – Hospice Continuous Home Care: Medical Necessity and Documentation Requirements. The review will determine if hospice Continuous Home Care (CHC) services were reasonable and necessary to achieve palliation and management of the patient’s acute medical…

Recovery Audit Contractor to Conduct Home Health Reviews

The Recovery Audit Contractor (RAC) Performant Recovery, Inc. will be conducting a complex home health review for documentation and medical necessity, according to an announcement from the Centers for Medicare & Medicaid Services (CMS). The announcement was posted January 10, 2018. The review will be for all Region 5 “HHA MACs except for the following…