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DISCUSSION PERIOD REQUEST FORM Purpose This form is to be completed and submitted by providers/suppliers who wish to enter into the 30day Discussion Period to provide additional information to support
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Gather all relevant information and documentation needed to complete the CMS RAC resources form.
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Submit the completed CMS RAC resources form through the designated submission method, whether online or by mail.
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Who needs cms rac resources?

01
Healthcare providers and organizations participating in the Recovery Audit Contractor (RAC) program.
02
Individuals involved in the review and appeals process for Medicare claims and payments.
03
Administrative staff responsible for managing compliance with Medicare regulations and guidelines.
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CMS RAC resources refer to the resources associated with the Centers for Medicare & Medicaid Services Recovery Audit Contractors. These contractors review Medicare and Medicaid claims to identify and recover improper payments.
Healthcare providers and suppliers who bill Medicare or Medicaid are required to file CMS RAC resources.
Filling out CMS RAC resources typically involves providing necessary claim details, supporting documentation, and identifying any discrepancies as directed by the RAC guidelines.
The purpose of CMS RAC resources is to ensure the integrity of the Medicare and Medicaid systems by identifying overpayments and underpayments made to providers and helping to prevent fraud.
Information that must be reported includes patient details, provider information, claim amounts, service dates, and any supporting documentation relevant to the claim.
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