tci Part B Insider - 2011 Issue 28

Physician Notes: Look for RAC Demand Letters Directly From Your MAC

Plus: Physician + Ministers + Supplier = Medicare Fraud?You've been waiting for years to hear the good news that recovery audit contractors (RACs) will cease sending demand letters to providers, and that time has finally come--with a catch. Although RACs will no longer send out demand letters, CMS has simply transferred the responsibility of that task to processing contractors. "When a recovery auditor finds that improper payments have been made to you, they will submit claim adjustments to your Medicare (claims processing) contractor," CMS says in new MLN Matters article MM7436. "The Medicare contractor will follow the...

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