Find-A-Code Focus Newsletter

New: 2012 January Edition of the Medicare Quarterly Provider Compliance Newsletter

February 07, 2012

The January 2012 edition of the Medicare Quarterly Provider Compliance Newsletter is now available on Find-A-Code.

This edition contains:

  • Recovery Audit Finding: Ambulance Services Separately Payable During an Inpatient Hospital Stay
  • Recovery Audit Finding: Billing for Arformoterol (Brovana) (J7605) and Formoteral fumarate (Perforomist) (Q4099)
  • Recovery Audit Finding: Diseases and Disorders of the Circulatory System
  • Recovery Audit Finding: Lower Limb Suction Valve Prosthesis
  • Recovery Audit Finding: Minor Surgery and Other Treatment Billed as Inpatient Stay
  • Recovery Audit Finding: Respiratory System Diagnosis Related Group (DRG) 076, Medicare Severity Diagnosis Related Groups (MS-DRGs) 166,167, 177, 178, and 179
  • Recovery Audit Finding: Chronic Obstructive Pulmonary Disease (COPD) Medicare Severity Diagnosis Related Group (MS-DRGs) 190, 191, and 192 (Medical Necessity Review and MS-DRG Validation)—Inappropriate and Insufficient Documentation
  • Recovery Audit Finding: Overutilization of Positive Airway Pressure (PAP) and Respiratory Assist Device (RAD) Accessories—Improperly Billed Quantities


To view this newsletter, click on the "Medicare Provider Compliance" link in the "Newsletters" section of the "Coding Information" column on the Find-A-Code home page (or just click the "Medicare Provider Compliance" link above ;-)

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