Medicare Program Integrity Manual (Pub. 100-08), Ch. 9 § 9.15

MAC Participation in the Review Approval Process

Last amended: 2019Year: 2019Length: 78 wordsOfficial source
9.15 – MAC Participation in the Review Approval Process (Rev. 921, Issued: 11-06-19 Effective: 11-04- 19, Implementation: 11-04-19) The RACs are expected to share CMS-approved new issue packages with their respective MACs. However, MACs are no longer required to provide a validation report to CMS for each new issue package. MACs shall participate in conference calls with CMS on ad hoc basis when needed to discuss review topic questions if they arise during or after the approval process.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 9 § 9.15: MAC Participation in the Review Approval Process | Justis AI