Monday, May 23, 2022

RAC Audits

Lori Jack

Good news everyone on a recent RAC audit for L5980… I just received a
letter from HDI stating “HDI has concluded that its overpayment
determination should be overturned. Accordingly, HDI has therefore
determined that no overpayment exists related to the claim/line on the Audit
Finalization.” I actually submitted in writing, a “Discussion Period to
Recovery Auditor Request” after receiving my Review Results Letter and
Refund Demand Letter stating the services submitted were not reasonable and
necessary. I was going to go straight to the Redetermination level of
appeal, but thought I’d try the “Discussion Period” route first. I
submitted this on October 18th and received a letter today dated October
31st so the turnaround time is pretty fast, which allowed me to not have to
cut a check to Medicare.

If you haven’t done so on past RAC audits, I would highly recommending
trying the “Discussion Period” route first, prior to submitting a
Redetermination… it certainly wouldn’t hurt.

Good luck everyone. it’s a tough time for us all J

Lori Jack

Office Manager

Northern Care, Inc.

Prosthetics & Orthotics

[email protected]

210 Windward Way

Kalispell, MT 59901

406-755-6322 phone

406-755-6324 fax

images (1)

The documents accompanying this email, and the information contained herein,
are confidential information belonging to the sender. The information is
intended for use of the individual or company named above. If you are not
the intended recipient, you are hereby notified that any disclosure,
copying, distribution or taking of any of this information is strictly
prohibited. If you have received this email in error, please contact us by
phone immediately.

RECENT NEWS

Get unlimited access!

Join EDGE ADVANTAGE and unlock The O&P EDGE's vast library of archived content.

O&P JOBS

Welcome Back!

Login to your account below

Retrieve your password

Please enter your username or email address to reset your password.

The O&P EDGE Magazine
Are you sure want to unlock this post?
Unlock left : 0
Are you sure want to cancel subscription?