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What are the different types of letters that my facility will receive related to improper payments?

April 26, 2017different facility improper letters PAYMENTS types

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What are the different types of letters that my facility will receive related to improper payments?

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The letters the RACs will send vary by whether it has identified an improper payment by automated or complex review. For automated reviews, providers will receive a demand letter. For complex reviews, providers will receive a medical record request letter and a review results letter. In the event that the review results letter contains a notification of improper payment, a demand letter will then be issued following the Discussion Period if the decision of improper payment has not been reversed.