Recovery Audit Contractor Steps to Appeal

The Medicare Administrative Contractor (MAC) would like to offer the supplier community a reminder regarding Recovery Audit Contractor (RAC) appeals. If requests are sent to the MAC without first receiving the demand letter from the recoupment department, the appeal to the MAC will be dismissed. A dismissal letter will be sent, and the supplier must wait for the overpayment demand letter before sending a valid appeal request to the MAC. The overpayment demand letter indicates that an overpayment has been completed and grants the claim appeal rights.

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