Medicare Program Integrity Manual (Pub. 100-08), Ch. 9 § 9.2.1

RAC Points of Contact

Last amended: 2019Year: 2019Length: 137 wordsOfficial source
9.2.1 – RAC Points of Contact (Rev. 921, Issued: 11-06-19 Effective: 11-04- 19, Implementation: 11-04-19) All MACs shall provide the CMS RAC COR the name, phone number, address, fax number, and email address of a primary point of contact (POC) and an alternate POC. The point of contact or alternate will be responsible for all communications with the CMS Contracting Officer Representative (COR) and the RAC. The POC will be contacted to handle improper payment issues such as offsets, claim processing issues, provider address information, status of claim adjustments and status of appeals. In addition, the contractor shall provide the CMS RAC COR with the name, phone numbers, addresses, fax number and email address of a medical review POC to handle such issues as local edits, provider education, and Local Coverage Determinations (LCDs), and other corrective action.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 9 § 9.2.1: RAC Points of Contact | Justis AI