Region C RAC announces new reviews

Thursday, April 3, 2014

WILTON, Conn. – Suction catheters for tracheostomy and speech generating devices and accessories will be subject to prepayment reviews by Connolly, the Region C RAC. For suction catheters, the company will conduct an automated review to evaluate overpayments identified when claims billed for suction catheters were not done in accordance with the billing requirements outlined in local coverage determinations (LCDs). The review of speech generating devices and accessories is a complex review evaluating medical documentation to determine whether items met coverage indications and limitations and/or medical necessity as outlined in the LCD.