DecisionHealth, DecisionHealth - 2017 Issue 6 (June)

RAC reviews to require a human touch; automated review becomes MAC only

CMS is eliminating automated review for recovery auditors (RACs) and revising the definitions for the various types of pre- and post-payment reviews that various contractors can perform. The revisions to the Program Integrity Manual were released in CMS 100-08, Change Request 9809, and will go into effect July 11.

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