CMS Publishes Revised Limits on RAC ADRs for Providers

The Centers for Medicare & Medicaid Services (CMS) has posted on its website revised limits on the additional documentation requests (ADRs) that recovery audit contractors (RACs) may send to providers, with a cap of 300 ADRs per 45 days. The limits and the cap apply to campus units, which may be composed of one or more separate facilities/practices that are under a single organizational umbrella. A significant feature of these limits is that for purposes of RAC ADRs, CMS defines “campus” differently than it does for determining eligibility for provider-based billing under 42 C.F.R. § 413.65(a)(2).

Click the link below to read the full alert.

Related Services