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Demand Letter Responsibility to Shift from RACs to MACs

James Carroll, for HealthLeaders Media, August 17, 2011

"Our organization has seven acute-care hospitals across the state, and we currently have issues with obtaining audit information from our FI/MAC because they send communication via the addresses on our 855A form which are either physical facility locations or PO boxes in another state," she says. "They don't address [correspondence] to specific individuals as our RAC currently does, so our concern is obtaining and responding to the demand letters within the 30 days prior to recoupment."

 "Our organization has a policy that we do not allow recoupment to occur. Instead we refund or appeal, so this transition could impact our response to those deadlines," she continued.

Whether the CMS announcement has a positive, negative, or neutral affect, it remains fact that it's something that providers need to know, because as of January 3 of next year, the letters will no longer becoming from their respective RACs.


James Carroll is associate editor for the HCPro Revenue Cycle Institute.

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