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Consideration radiology suppliers and suppliers: Get ready for elevated Medicare auditing exercise. The Centers for Medicare and Medicaid Providers (CMS) Restoration Audit Contractor (RAC) program has been made permanent and is increasing nationwide, starting this yr. Claim denials and overpayment determinations made by RACs are topic to the Medicare appeals course of. Radiology providers and suppliers are nicely advised to grasp the Medicare appeals process and will acknowledge that there are lots of efficient methods that can be efficiently employed in the appeals course of to defend Medicare audits.
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