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Issue Name Issue Type Claim Types States Date Approved Details
Acute and Subacute Endocarditis: MS-DRGs 288-290 (Medical Necessity Excluded.) Complex Inpatient MN, WI, MI, IL, IN, OH, KY 6/27/2011 Details
Acute Inpatient Admission Respiratory Conditions MS-DRG: 180, 190-198, 202-206 (Medical Necessity Review) Complex Inpatient MN, WI, MI, IL, IN, OH, KY 2/8/2011 Details
Acute Inpatient Hospitalization - Infections MS-DRG: 094, 095, 096, 177-179; 488-489; 539-541; 602, 603, 689-690; 856, 857; 858, 862-869, 871;872, 977 (Medical Necessity Review) Complex Inpatient MN, WI, MI, IL, IN, OH, KY 2/8/2011 Details
Acute Inpatient Hospitalization - Musculoskeletal Disorders MS-DRG: 542--566 (Medical Necessity Review) Complex Inpatient MN, WI, MI, IL, IN, OH, KY 2/8/2011 Details
Acute Inpatient Hospitalization – Conditions of the Circulatory System MS-DRG: 286, 287, 288, 289, 290, 291, 292, 293, 299, 300, 301, 302, 303, 304, 305, 308, 309, 310, 311, 312, 313, 314, 315, 316 (Medical Necessity Review) Complex Inpatient MN, WI, MI, IL, IN, OH, KY 4/8/2011 Details
Acute Inpatient Hospitalization – Diseases and Disorders of the Digestive System MS-DRGs 347 through 358 and 368 through 395 (Medical Necessity Review) Complex Inpatient MN, WI, MI, IL, IN, OH, KY 4/8/2011 Details
Acute Inpatient Hospitalization – Surgical Cardiovascular Procedures MS-DRG: 246, 247, 248, 249, 250, 251, 252, 253, 254, 263, 264, 265 (Medical Necessity Review) Complex Inpatient MN, WI, MI, IL, IN, OH, KY 4/8/2011 Details
Acute Kidney Failure (Medical Necessity Excluded.) Complex Inpatient MN, WI, MI, IL, IN, OH, KY 11/18/2011 Details
Acute Myocardial Infarction: MS-DRGs 280-285 ( Medical Necessity Excluded.) Complex Inpatient MN, WI, MI, IL, IN, OH, KY 6/27/2011 Details
Acute Respiratory Failure: MS-DRG 189 (At this time, Medical Necessity is excluded from review.) Complex Inpatient IL, IN, KY, MI, MN, OH, WI 1/11/2010 Details
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