Medicare Program Integrity Manual (Pub. 100-08), Ch. 9 § 9.14

Receivables Initiated by the RAC as Independent Audit

Last amended: 2019Year: 2019Length: 103 wordsOfficial source
9.14 - Receivables Initiated by the RAC as Independent Audit Accessible Information (Rev. 921, Issued: 11-06-19 Effective: 11-04- 19, Implementation: 11-04-19) As stated in the MFMM, Chapter 7, Section 20.1, CMS requires its contractors to perform risk assessments on an annual basis. If an independent auditor requests the MAC to provide information on a RAC-initiated improper payment, the MAC shall request the documentation from the RAC and submit it to the auditor as requested. This process shall be documented in the JOAs. Situations where the RAC does not provide documentation as requested should be sent to the CMS COR, as soon as possible.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 9 § 9.14: Receivables Initiated by the RAC as Independent Audit | Justis AI