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RAC audits: CMS adds discussion period

February 21, 2014Liz Beaulieu, Editor

WASHINGTON - The week after a scathing forum on audits, CMS on Feb. 18 pledged to make a number of changes to the recovery audit contractor (RAC) program in 2014.The change with the biggest potential impact on HME: CMS will require the RACs to wait 30 days before sending a claim to the MAC for adjustment to allow for discussions. Industry stakeholders say providers can use this defined window to try and clear up claims that have been denied due to technical reasons.“If they say I don't have...

Audits, Discussion, RAC, reform


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