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CMS Recovery Audit Contractor (RAC) Program Frequently Asked Questions by Providers Contact Information How can I contact Performant? Phone: 18662010580 Email: info@performantrac.comFax: 3252246710
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How to fill out medicare fee for service

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How to fill out medicare fee for service

01
Obtain the Medicare fee for service form from the official Medicare website or your healthcare provider.
02
Fill in your personal information accurately and completely, including your name, address, date of birth, and Medicare number.
03
Provide details about the services or treatments you received, including dates, codes, and costs.
04
Include any relevant documentation or receipts to support your claim.
05
Review the form for accuracy and make sure all necessary information is included.
06
Submit the completed form to Medicare either online, by mail, or in person.

Who needs medicare fee for service?

01
Individuals who are enrolled in the Medicare program and have received medical services from a healthcare provider that accepts Medicare assignment may need to fill out a Medicare fee for service form.

What is Medicare Fee for Service Recovery Audit Program - CMS Form?

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Template Medicare Fee for Service Recovery Audit Program - CMS instructions

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Medicare fee for service is a payment model in which healthcare providers are reimbursed for each service provided to a patient.
Healthcare providers who participate in the Medicare program and provide services to Medicare beneficiaries are required to file medicare fee for service.
Healthcare providers can fill out medicare fee for service through the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) or by submitting paper forms to the Medicare Administrative Contractor (MAC).
The purpose of medicare fee for service is to ensure that healthcare providers are reimbursed for the services they provide to Medicare beneficiaries in a fair and accurate manner.
Information such as the patient's name, date of service, the service provided, and the healthcare provider's information must be reported on medicare fee for service.
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