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Attention radiology suppliers and suppliers: Get ready for elevated Medicare auditing activity. The Facilities for Medicare and Medicaid Providers (CMS) Recovery Audit Contractor (RAC) program has been made permanent and is increasing nationwide, starting this year. Claim denials and overpayment determinations made by RACs are subject to the Medicare appeals process. Radiology providers and suppliers are nicely suggested to grasp the Medicare appeals process and should recognize that there are numerous effective methods that can be efficiently employed within the appeals process to defend Medicare audits.
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