Carriers Recouping Overpayments Identified by RACs Must Follow Precise Reporting Instructions

Centers for Medicare and Medicaid Services (“CMS”) reported yesterday that it realizes that fiscal intermediaries haven’t been providing sufficient detail on remittance advices (RAs) when recouping overpayments identified by RACs to allow providers to track and update their financial records. In response to that complaint, CMS issued CR 6870 and the corresponding MLN Matters 6870, which outlines clear protocols for how carriers must report when an overpayment has been identified, and when recoupment begins.

Providers can familiarize themselves with this protocol by reading the MLN Matters, and understand how to review their RAs for RAC activity and accurate financial records.

For more information on this guidance, RACs, or other Medicare appeals, please review the HLP’s RAC page or contact Abby Pendleton, Esq. or Jessica Gustafson, Esq. at (248) 996-8510.