CMS to Resume Post Payment Audits

CMS has announced that to protect the Medicare Trust Fund against inappropriate payments, Medicare Administrative Contractors (MACs) are resuming fee-for-service medical review activities. Beginning August 17, the MACs are resuming post-payment reviews of items/services provided before March 1, 2020. The Targeted Probe and Educate program (intensive education to assess provider compliance through up to three rounds of review) will restart later. The MACs will continue to offer detailed review decisions and education as appropriate, according to the CMS statement.

AHDAM is interested in hearing about your experience with the resumption of post payment audits.
Please email me at denise@ahdam.org with the good, the bad, and the ugly of your experiences so we can share them with the community.

For More Information:

https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2020-08-06-mlnc