What happens after a RAC audit?
In those cases of overpayments, the physicians may choose to send a rebuttal of the findings directly to the RAC within 15 days of receiving the RAC’s letter identifying an overpayment. However this does not stop the clock on the 120-day time period during which you can request a redetermination (first level appeal) from your Medicare contractor or on the interest accrued when money is not refunded to CMS within 30 days of request. If the RAC discovers that an underpayment has been made to the provider then the RAC will inform the carrier or intermediary who will proceed with the claim adjustment and payment to the provider. When does all this begin? Implementation will take place on a rolling basis in 3 phases which began 10/1/08. The schedule for the program rollout can be found here. Will your practice be ready? Carla Hannibal, CMM, CPM, CIMBS is President of Hannibal Professional Services, LLC (HPS). HPS is a practice management company that provides services for small to medium-si
