How to appeal a RAC recoupment request

07/8/2013 | O&P Almanac (Adobe Flash required)

In 2011, health providers appealed only 6% of Medicare audits by Recovery Audit Contractors that requested recovery of overpayments, but 43% of those appeals resulted in overturning the initial determination. This article outlines the five levels of appeal, from an initial request for redetermination all the way to filing a civil lawsuit in federal court. The author also discusses how practitioners can respond to requests for repayment, including refunding suspected overpayments before appealing to avoid paying interest.

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