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CMS Announces Special Open Door Forum for the Recovery Auditor Pre-Payment Review Demonstration Program

On Wednesday, December 21, the Centers for Medicare and Medicaid Services (CMS) will hold a Special Open Door Forum on the Recovery Auditor Pre-Payment Review Demonstration Program. The Demonstration Program is a mandatory program for providers in 11 states, including: CA, FL, IL, LA, MI, MO, NC, NY, OH, PA and TX. The program will involve Recovery Auditors’ (RACs’) pre-payment review of certain claims, beginning with hospital short-stay inpatient claims. After the November 15 announcement of the program, CMS has released very little details about the program. We encourage all Medicare providers in the 11 states, especially hospitals, to participate in the Open Door Forum. The details of the forum and call-in information are listed below.

For more information on CMS’ recent demonstration projects or for assistance with appealing a Recovery Auditor’s determination, please contact a Wachler & Associates attorney at 248-544-0888 or visit www.racattorneys.com.

Date: Wednesday, December 21, 2011

Time: 2:00-3:30 PM ET

Dial: 1-866-778-8325

Reference Conference ID#: 36846735

Materials for the conference will be available at: http://go.cms.gov/cert-demos