Discovery Code Indication for Recovery Audit Contractor (RAC) NonMSP Identified Overpayments
This change request creates a new discovery code that
will give Medicare contractors the capability to track the overpayments identified by the
recovery audit contractors and create daily standard reports which will allow CMS to
reconcile the actions taken on overpayments identified by a recovery audit contractor.
The following contractors are currently affected by the recovery audit contractor
demonstration project: NHIC (31140 & 31146), CIGNA DMERC (5655), Palmetto
DMERC (885), FCSO (90 & 590), UGS (California 454), HealthNow DMERC (811),
Empire (308 & 803), GHI (14330), and HealthNow (801).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 06, 2005
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.