MACs Resume Post-payment Medical Reviews

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Beginning in August 2020, Medicare Administrative Contractors (MACs) resumed post-payment reviews of items and services with dates of service before March 2020. The Centers for Medicare & Medicaid Services (CMS) has now authorized the MACs to begin conducting post-payment medical reviews for later dates of service. The Targeted Probe and Educate program  will restart later, according to the announcement. The MACs will continue to offer detailed review decisions and education as appropriate.