RAC Facts

RACs may review paid claims as far back as Oct. 1, 2007 (claims paid date).

RACs perform post-payment review on paid claims using the same Medicare policies (including National and Local coverage decisions) used to pay the claim initially.

RACs can perform two types of reviews: Automated Reviews, which do not request medical records, and Complex Reviews, which will request medical records.

The Pollen Line is now closed. See you in the spring!

Grass: 0
Mold: 0

Weed: 0

Tree: 0

Ragweed: 0

AMCNO on Twitter