Cahaba GBA Prepayment Review Update March 2011

on Tuesday, 22 March 2011. All News Items

Upcoming Reviews

Inpatient - Cahaba GBA will soon be conducting widespread probe reviews of the following DRGs for bill type 11X. These will be full claim reviews and claims will be reviewed for medical necessity, such as compliance with CMS guidelines, contractor LCDs, and correct billing and coding.

  • DRG 247 (Percutaneous Cardiovascular Procedure with Drug-Eluting Stent without Major Complication/Comorbidity {MCC})
  • DRG 069 (Transient Ischemia)
All the Documentation articles and Probe Review announcements and results notifications can be found on the Part A What’s New page of the Cahaba GBA website at http://www.cahabagba.com/

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