RAC Transmittals

When relevant government transmittals are released, we will collect and organize them for you here.

Medicare Appeals—Amount in Controversy Threshold Amounts – CY 2011 Medicare Appeals—Amount in Controversy Threshold Amounts – CY 2011 (49 KB)
Federal Register: September 24, 2010

Recovery Audit Contractor (RAC) Demonstration High-Risk Diagnosis Related Group (DRG) Coding Vulnera Recovery Audit Contractor (RAC) Demonstration High-Risk Diagnosis Related Group (DRG) Coding Vulnera (74 KB)
MLN Matters SE1028 - September 23, 2010

Recovery Audit Contractor (RAC) Demonstration High-Risk Medical Necessity Vulnerabilities for Inpati Recovery Audit Contractor (RAC) Demonstration High-Risk Medical Necessity Vulnerabilities for Inpati (85 KB)
MLN Matters SE1027 - September 23, 2010

July 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) July 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) (343 KB)
CMS Manual System, Pub 100-02 Medicare Benefit Policy, Chapter 6, Sections 20.4 and 20.5, Transmittal 128 - May 28, 2010

Systems Changes Necessary to Implement the Patient Protection and Affordable Care Act (PPACA) Sectio Systems Changes Necessary to Implement the Patient Protection and Affordable Care Act (PPACA) Sectio (70 KB)
MLN Matters MM6960 - May 7, 2010

Reporting of Recoupment for Overpayment on the Remittance Advice (RA) Reporting of Recoupment for Overpayment on the Remittance Advice (RA) (102 KB)
CMS Manual System, Pub 100-20 One-Time Notification, Transmittal 659 - March 19, 2010

Appeals Revisions Appeals Revisions (384 KB)
CMS Manual System, Pub 100-04 Medicare Claims Processing, Multiple Sections from 200 to 330.5, Transmittal 1762 - July 2, 2009

Revised Appendix A, “Interpretive Guidelines for Hospitals” - Guidelines for patient medical record Revised Appendix A, “Interpretive Guidelines for Hospitals” - Guidelines for patient medical record (67 KB)
CMS Manual System, Pub. 100-07 State Operations Provider Certification, Transmittal 47 - June 5, 2009

Limitation on Recoupment (935) for Providers, Physicians, and Suppliers Overpayments Limitation on Recoupment (935) for Providers, Physicians, and Suppliers Overpayments (978 KB)
CMS Manual System, Pub 100-06 Medicare Financial Management, Chapter 3, Transmittal 141 - September 12, 2008

Statement of Work for the Recovery Audit Contractor Program Statement of Work for the Recovery Audit Contractor Program (252 KB)
CMS Publication - November 7, 2007