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Consideration radiology providers and suppliers: Prepare for elevated Medicare auditing activity. The Centers for Medicare and Medicaid Providers (CMS) Restoration Audit Contractor (RAC) program has been made everlasting and is expanding nationwide, beginning this 12 months. Declare denials and overpayment determinations made by RACs are subject to the Medicare appeals course of. Radiology suppliers and suppliers are effectively advised to know the Medicare appeals course of and will acknowledge that there are numerous efficient strategies that can be efficiently employed in the appeals process to defend Medicare audits.
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