Although CMS has identified eight MS-DRG codes for the RACs to review during the course of this demonstration, only one code will be reviewed when the demonstration begins on August 27, 2012.

Three demonstration projects were announced on Nov. 15, 2011 by CMS. The most challenging of these projects for hospitals is the Recovery Audit Contractor Pre-Payment Review. The three-year pilot ...

Pregnancy with evidence of Cesarean section (i.e., DRG 370, 371, or 378). Study Measures. Study measures included the number of inpatient hospitalizations involving adhesiolysis, ...