CMS Approved Audit Issues

This list includes all CMS-approved audit issues:

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Issue NameIssue TypeClaim TypesStatesDate ApprovedDetails
Evaluation and Management Services During Same Day Global Period CMS Issue Number: C000052012AutomatedOutpatient Hospital - UnspecifiedAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia4/16/2012 Details
Evaluation and Management Services During Global Surgery Periods – OP CMS Issus Number: C000062012AutomatedOutpatient Hospital - UnspecifiedAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia4/16/2012 Details
Physician Evaluation and Management Services During Same Day Global Period CMS Issue Number: C000102012AutomatedPhysicianAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia4/16/2012 Details
Colony Stimulating Factors- Carrier CMS Issue Number: C000372012AutomatedPhysicianAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia4/16/2012 Details
Discontinued procedure without appropriate modifier CMS Issue Number: C000172012AutomatedOutpatient Hospital - UnspecifiedAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia4/13/2012 Details
Medical Necessity: Diseases and Disorders of the Nervous System, MS-DRG's 058, 059, 060, 075, 076, 077, 080, 081, 086, 087 w/CC, w/MCC without CC/MCC CMS Issue Number: C000442012ComplexInpatient Hospital - AcuteAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia4/9/2012 Details
Medical Necessity: Disease and Disorders of the Nervous System MS DRG's, 088, 089, 090, 091, 092, 093 and 102 w/CC, w/MCC, without CC/MCC CMS Issue Number: C000432012ComplexInpatient Hospital - AcuteAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia4/9/2012 Details
Medical Necessity: Diseases And Disorders Of The Eye- MS-DRG's 121, 122, 123, 124 and 125 w/CC, w/MCC , without CC/MCC ComplexInpatient Hospital - AcuteAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia4/9/2012 Details
Colony Stimulating Factors- Outpatient CMS Issue Number: C000192012AutomatedOutpatient Hospital - UnspecifiedAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia3/23/2012 Details
Hospice Related Services –Outpatient CMS Issue Number: C000162012AutomatedOutpatient Hospital - UnspecifiedAlabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virgin Islands, Virginia, West Virginia3/23/2012 Details
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