Demand letter responsibility shifted from RAC to MAC
Recovery Auditor Report, August 11, 2011
Recovery audit contractors had previously been responsible for issuing demand letters to providers, but a transmittal released on July 29 will shift this responsibility to Medicare administrative contractors (MACs). This move reflects the program’s desire to increase consistency and efficiency through automation, according to CMS.
The RACs will continue to handle this responsibility until January 3, 2012, when the responsibility officially switches over to the MACs. As a result, when a recovery auditor finds that improper payments have made been, they will submit claim adjustments to the MAC, and the MAC will then establish receivables and issue automated demand letters for any recovery auditor identified overpayment. The MAC will then follow the same process as is used to recover any other payment, according to the accompanying MLN Matters article.
Related Products
-
Core Skills for Hospital Case Managers:
A guide to fundamental case management responsibilities, Core Skills for Hospital Case Managers serves as a training...
-
Combat RAC Denials: Strategies for Successful Appeals
During this 90-minute audio conference, our speakers provide step-by-step procedures, timelines, tools, and best practices...
-
The 2013 Medicare Compliance Forum: Las Vegas, NV
-
Level of Care Determinations for 2014: Las Vegas, NV
Attend the half-day seminar, Outpatient, Observation or Inpatient? Continuing to Walk the Tightrope of Regulatory Guidance...
-
OPPS and IPPS Reimbursement Fundamentals: Las Vegas, NV
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on October 2nd in Las Vegas. Learn how CMS’ substantial...
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Nursing responsibilities for managing pain
- Steps for maintaining patient privacy
- Complications from immobility by body system
- Know guidelines and subtle differences in code descriptions for laceration repairs
- Practice the six rights of medication administration
- Poor documentation: The consequences
- Note similarities and differences between HCPCS, CPT® codes
- 10 Tips for Educating Elderly Patients
- Neurological checks for head injuries
- E-mailed
- Searched