Results 1 to 2 of 2

Rac demand letters

  1. #1
    Question Rac demand letters
    New Call-to-action
    Can anybody help me please I am confused.

    Are you to refund the requested money to Mcare & then do your redetermination or can you do the redetermination within 30days of the letter?

    I was also told by a customer rep on Mcare hotline that if you don't do the refund you should mark on the redetermination form "please stop the over pmt request until redetermination is completed". Has anybody have any suggestions?


    Dawn H, CPC

  2. #2
    North Carolina
    A redetermination is the first level of appeal. A provider may request a redetermination when they are dissatisfied with the overpayment decision. A redetermination must be submitted within 30 days to prevent offset on day 41. You will always contact the contractor/MAC for this option. The timeframe is between day 1 and 120 upon receipt of the demand letter. It must be submitted within 120 days of receipt of demand letter. To prevent offset on day 41 the Redetermination must be filed within 30 days. The timeframe ends on day 120.

    Below is the link to the RAC website. MLN The Medicare Appeals Process Brochure explains the process in greater detail (found towards the bottom of the page)
    Rebecca CPC, CPMA, CEMC

    Your click COUNTS...

    CLICK to give FREE mammograms!

Similar Threads

  1. On Demand events
    By rthames052006 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-01-2011, 06:54 AM
  2. Demand for medical coders?
    By bettinadodd in forum Employment General Discussion
    Replies: 4
    Last Post: 08-23-2010, 05:55 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.