RAC Audits

Lori Jack

Description

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

 

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Citation

Lori Jack, “RAC Audits,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/235806.