If the hospital or provider disagrees with the CGI determination, what is the procedure to exercise the Discussion Period option?
Prior to any recoupment taking place for identified overpayments, CGI Federal, in accordance with CMS guidelines, provides a Discussion Period, to allow the provider to discuss medical/clinical results with appropriate CGI Federal personnel. It is highly recommended that you contact CGI as soon as possible to initiate any discussions well in advance of recoupment. Outlined below are guidelines for utilizing this Discussion Period: To initiate a discussion, contact the CGI RAC B Call Center, by phone at 1-877-316-RACB (7222), or by email at racb@cgi.com. When contacting CGI for a discussion, please provide the following information: 1. The Letter ID from the Overpayment Demand Letter, or Review Results Letter that you wish to discuss. 2. The name and phone number of your contact who will participate in the discussion. 3. A call back number for the person responsible for scheduling the discussion for your participant. 4. Several available timeslots for which we can work to coordinate a t
Related Questions
- Please clarify the procedure that a provider may follow if they disagree with the DCS determination and wish to discuss the account with DCS concerning the denial?
- If the hospital or provider disagrees with the CGI determination, what is the procedure to exercise the Discussion Period option?
- What action may be taken by a provider who disagrees with a determination on a provider enrollment application?
