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This letter informs healthcare providers of improper payments identified by the Recovery Audit Contractor and outlines their rights to dispute the findings.
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What is recovery audit contractor rac?
A Recovery Audit Contractor (RAC) is a program established by the Centers for Medicare & Medicaid Services (CMS) to identify and recover overpayments made to healthcare providers and Medicare beneficiaries.
Who is required to file recovery audit contractor rac?
Healthcare providers, including hospitals and other institutions that submit claims for Medicare services, are required to file with Recovery Audit Contractors.
How to fill out recovery audit contractor rac?
To fill out a RAC request, providers should complete the RAC documentation and submit it electronically or via mail to the designated RAC along with any required supporting documents.
What is the purpose of recovery audit contractor rac?
The purpose of RAC is to reduce improper payments to healthcare providers and improve the accuracy of Medicare payments.
What information must be reported on recovery audit contractor rac?
Providers must report information such as claim numbers, patient details, services rendered, dates of service, and the rationale for any adjustments made.
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