The Centers for Medicare and Medicaid Services (CMS) posted a new FAQ regarding Recovery Audit Contractors (RACs) on their website. The FAQ inquires what claim dates CMS uses to determine RAC medical record request limits for a fiscal year. CMS responded that they originally intended to use a designated calendar year’s claims to create limits for the following fiscal year (eg calendar 2007 to determine fiscal 2008). However, due to a delay in the RAC program, more current data was available, causing CMS to use a designated calendar year’s claims to create limits for the same fiscal year (eg calendar 2008 to determine fiscal 2008).
For the full text of the FAQ and CMS’ response, please click here.
For more information regarding RACs, please call Abby Pendleton, Esq. or Jessica L. Gustafson, Esq. at (248) 996-8510, visit The HLP website’s RAC, Medicare and Other Payor Audits page, or The HLP website.