Earliest possible dates for reviews in yellow/green states
•Automated Review-Black & White Issues (June 2009)
•DRG Validation-complex review (Aug/Sept 2009)
•Complex Review for coding errors (Aug/Sept 2009)
•DME Medical Necessity Reviews-complex review (Fiscal year 2010)
•Medical Necessity Reviews-complex review (calendar year 2010)

Earliest possible dates for reviews in blue states
•Automated Review-Black & White Issues (August 2009)
•DRG Validation-complex review (Oct/Nov 2009)
•Complex Review for coding errors (Oct/Nov 2009)
•DME Medical Necessity Reviews-complex review (Fiscal year 2010)
•Medical Necessity Reviews-complex review (calendar year 2010)


*Provider outreach must occur in the state prior to the beginning of any reviews


RAC Medical Record Request Limits

RAC Provider Outreach Schedule

RAC Contact Information