tci Medicare Compliance & Reimbursement - 2010 Issue 16

Payment Trends: Beware: RACs May Be Triggering MAC Attacks

If you do get a notice of a probe review, don't do this. SNF providers may not be the only ones worried about RACs on the prowl for overpayments. Numerous consultants are seeing more MAC/FI probe reviews, which they say may signal that Medicare contractors are ramping up their efforts to detect overpayments before RACs get the chance. "It could be that MACs are feeling pressure from the RAC audits" to do more post-payment reviews, which may be a self-preserving effort "to keep their contracts with CMS in good standing," surmises Sherri Robbins, RN, BSN , supervising consultant with...

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