Notice of Providers of Upcoming Widespread Review of Ultra High Rehabilitation RUG’s RUA03, RUB03 AND RUC03, TOB 21X
As a result of data analysis, Cahaba GBA will soon be conducting a widespread review of Ultra High Rehabilitation RUG’s RUA03, RUB03 AND RUC03, TOB 21X. The topic for this review will be 5154V. Claims meeting the parameters of this edit will be selected across the provider community. Once selected, the claims will be reviewed for medical necessity (e.g. Compliance with CMS’s guideline, contractor LCD’s, correct billing and coding). This will be a full claim review. The data from this review will assist us in determining our provider’s education needs.
Once completed, the results of this probe will be posted on our web site.
Page last updated: July 29, 2008
