RAC Audits
Lori Jack
Description
Collection
Title:
RAC Audits
Creator:
Lori Jack
Date:
11/5/2013
Text:
Good news everyone on a recent RAC audit for L5980... I just received a
letter from HDI stating HDI has concluded that its overpayment
determination should be overturned. Accordingly, HDI has therefore
determined that no overpayment exists related to the claim/line on the Audit
Finalization. I actually submitted in writing, a Discussion Period to
Recovery Auditor Request after receiving my Review Results Letter and
Refund Demand Letter stating the services submitted were not reasonable and
necessary. I was going to go straight to the Redetermination level of
appeal, but thought I'd try the Discussion Period route first. I
submitted this on October 18th and received a letter today dated October
31st so the turnaround time is pretty fast, which allowed me to not have to
cut a check to Medicare.
If you haven't done so on past RAC audits, I would highly recommending
trying the Discussion Period route first, prior to submitting a
Redetermination... it certainly wouldn't hurt.
Good luck everyone. it's a tough time for us all J
Lori Jack
Office Manager
Northern Care, Inc.
Prosthetics & Orthotics
<Email Address Redacted>
210 Windward Way
Kalispell, MT 59901
406-755-6322 phone
406-755-6324 fax
images (1)
The documents accompanying this email, and the information contained herein,
are confidential information belonging to the sender. The information is
intended for use of the individual or company named above. If you are not
the intended recipient, you are hereby notified that any disclosure,
copying, distribution or taking of any of this information is strictly
prohibited. If you have received this email in error, please contact us by
phone immediately.
letter from HDI stating HDI has concluded that its overpayment
determination should be overturned. Accordingly, HDI has therefore
determined that no overpayment exists related to the claim/line on the Audit
Finalization. I actually submitted in writing, a Discussion Period to
Recovery Auditor Request after receiving my Review Results Letter and
Refund Demand Letter stating the services submitted were not reasonable and
necessary. I was going to go straight to the Redetermination level of
appeal, but thought I'd try the Discussion Period route first. I
submitted this on October 18th and received a letter today dated October
31st so the turnaround time is pretty fast, which allowed me to not have to
cut a check to Medicare.
If you haven't done so on past RAC audits, I would highly recommending
trying the Discussion Period route first, prior to submitting a
Redetermination... it certainly wouldn't hurt.
Good luck everyone. it's a tough time for us all J
Lori Jack
Office Manager
Northern Care, Inc.
Prosthetics & Orthotics
<Email Address Redacted>
210 Windward Way
Kalispell, MT 59901
406-755-6322 phone
406-755-6324 fax
images (1)
The documents accompanying this email, and the information contained herein,
are confidential information belonging to the sender. The information is
intended for use of the individual or company named above. If you are not
the intended recipient, you are hereby notified that any disclosure,
copying, distribution or taking of any of this information is strictly
prohibited. If you have received this email in error, please contact us by
phone immediately.
Citation
Lori Jack, “RAC Audits,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/235806.
