Essentially, CMS will pick up where it left off on November 4, 2008, when the program was put on automatic stay because of a contractor dispute.

When the program does resume, RACs are expected to hold town hall type meetings in each state with Medicare providers, CMS staff and RAC representatives.
CMS said it would also continue to work “closely with national and state medical, hospital and nursing home associations to strengthen relationships to be more proactive and anticipate the needs and concerns of health care providers.” 
Those associations in the first wave of states include the following:

 

Region A

  • New Hampshire Hospital Association
  • Greater New York Hospital Association
  • Healthcare Association of New York State
  • Maine Hospital Association
  • Massachusetts Hospital Association
  • Vermont Hospital Association
  • Rhode Island Hospital Association

 

Region B

  • Indiana Hospital Association
  • Michigan Health Association
  • Minnesota Hospital Association

 

Region C

  • Oncology State Society Network, Albuquerque, New Mexico
  • New Mexico Hospital
  • South Carolina Hospital Association
  • Rehab Service Palmetto Health Baptist, South Carolina
  • Colorado Hospital Association
  • South Florida Hospital Association
  • Florida Hospital Association

 

Region D

  • Montana Hospital Association
  • Wyoming Hospital Association
  • Utah Hospital Association
  • North Dakota Hospital Association
  • South Dakota Hospital Association
  • Arizona Hospital Association

 

Upon completion of RAC provider education, CMS says that some healthcare organizations in first wave states may receive either requests for medical records or a letter requesting that an overpayment be repaid for their claims that were submitted to and paid for by Medicare.

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Samuel A. Donio, Jr. is president of CBIZ KA Consulting Svcs, LLC

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