Confusing the rebuttal process with the discussion period
Medicare Update for CAHs, January 25, 2012
The following question and answer is an exchange between a reader and the Revenue Cycle Institute team:
Question: I’m new to handling RAC audits, so I was reading up on the rebuttal process, also known as the “discussion period,” which must be filed within 15 calendar days of the date on the demand letter. I called my RAC (Connolly Healthcare) and was told that the rebuttal letter along with the “stop recoupment” letter should go to my local Medicare administrative contractor (MAC).
The letter we received from Connolly states that we are to notify the “claim processing contractor” and they will review and advise of their decision within 15 days. I’m confusing about who should be receiving the rebuttal letter. When I spoke with Palmetto (our MAC) they were under the impression that I submitted an appeal letter and that they have 60 days to respond. Can you please clarify?
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
-
- Learn documentation requirement for critical care coding in the ED
- Practice the six rights of medication administration
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Q&A: Primary, principal, and secondary diagnoses
- Skills of effective case managers
- OB services: Coding inside and outside of the package
- Neurological checks for head injuries
- The consequences of an incomplete medical record
- Ensuring clear and concise documentation critical for case managers
- E-mailed
-
- Medical record committee protocol
- MRSA in homecare: What is MRSA and how can it be prevented?
- Insider's scoop | Proper coding for depression
- Guidance for proper use of Category III CPT codes
- Get to the heart of cardiac catheterization coding
- Expirations on standing orders
- Coding tip: Learn types and names of bunion procedures, part 2 of 2
- CMS and AMA documentation guidelines for E/M codes don't always agree
- Clinical Corner: Revisiting respiratory failure
- Can we accept orders from a physician?s secretary or office nurse who is communicating with us instead of the physician?
- Searched
