CMS RAC Auditor Halloween Mask (with Instructions… better than those provided by CMS groups of late…) For Halloween, try making this CMS RAC Auditor Mask. Below are the Instructions to make the mask. Here are some … Continue reading →
“Scope Creep” in Appeals is Dead CMS has instructed MACs and QICs to limit their review to the reason(s) the claim or line item at issue was initially denied. For redeterminations and reconsiderations of claims denied following a complex prepayment review, a complex post-payment review, or an automated post-payment review by a contractor, Limiting the scope of review on redeterminations and reconsiderations of certain claims. MLN Matters Number SE1521.