Medicare Program Integrity Manual (Pub. 100-08), Ch. 9 § 9.2.3
RAC/MAC Communication
9.2.3 – RAC/MAC Communication
(Rev. 921, Issued: 11-06-19 Effective: 11-04- 19, Implementation: 11-04-19)
The MACs shall work with the RAC to develop a communication process. This process
shall be flexible and shall be reached by a mutual agreement. CMS has several items to
assist in the communication efforts:
• RACDW
• Indicator Code of RAC Identified Overpayments
• System Generated Flat File of all A/R transactions on a daily basis
• Mass Adjustment Process
• CMS Secure Email
NOTE: Unless prior approval has been given by CMS, Personal Health Information
(PHI) shall not be transferred over the internet, or via email. PHI may be transmitted via
fax, telephone, mail pager, or CMS secure email.