tci Medicare Compliance & Reimbursement - 2005 Issue 22

Physicians: RAC Letters May Slip Through The Cracks

CMS will try to contact providers when it sends letters.Given the high non-response rate to the Comprehensive Error Rate Testing contractor, many providers are worried that they'll accidentally miss a letter from the recovery audit contractor and be hit with an overpayment, said Jean Acevedo with Acevedo Consulting in Delray Beach, FL. The Centers for Medicare and Medicaid Services said the RAC letters will look like carrier audit letters, and the RACs may go the extra mile to contact people. CMS hopes the RACs will do a better job than the CERT contractor of obtaining the most...

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