Medicare Administrative Contractors are reinstating medical reviews
As of August 17th, MAC's have
reopened medical reviews of services provided prior to March 1st,
To protect the Medicare Trust Fund against
inappropriate payments, Medicare Administrative Contractors (MACs) are resuming
fee-for-service medical review activities. Beginning August 17, the MACs have
resumed with post-payment reviews of items/services provided before 3/1/2020.
The Targeted Probe and Educate program (intensive education to assess provider
compliance through up to three rounds of review) will restart later. The MACs
will continue to offer detailed review decisions and education as appropriate.