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MACs restart reviews

MACs restart reviews

WASHINGTON – The Medicare Administrative Contractors may now begin conducting post-payment medical reviews for dates of service later than March 2020, CMS has announced

In August 2020, the MACs resumed post-payment reviews of items and services with dates of service before March 2020. 

The Targeted Probe and Educate program, which involves intensive education to assess provider compliance through up to three rounds of review, will restart at a later date, CMS says. 

The MACs will continue to offer detailed review decisions and education, as appropriate, the agency says. 


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