May 2009: CMS issued a sample Demand Letter from a RAC. This particular letter is a demand relating to a Complex Review for a Part A Medicare Claim. Sample Demand Letter (PDF format, 5 pgs, 46 KB)

The RAC Appeals Process is not too different from Medicare’s standard Appeals Process. CMS offers this explanation of the process.  We have pulled out the most useful links for providers: New Final Rule dated January 17, 2017 updates portions of the Appeals Process. Read the Rule in the Federal Register.  A booklet from MLN explaining […]