Recovery Audit Contractor Sends Out Initial Overpayment Letters

April 2nd, 2013

In an effort to help states reduce improper payments for Medicaid health care claims, the Centers for Medicare and Medicaid Services (CMS) issued a final rule to implement section 6411 of the Affordable Care Act. Section 6411 of the Affordable … Continued

Provider Adjustments Prohibited After Overpayment Letter Received

April 23rd, 2012

The Missouri Medicaid Audit & Compliance Unit (MMAC) issues final decision letters to providers after conducting reviews of post-payment claims.  Providers must be aware that the overpayment amount detailed in their final decision (demand) letter is a sanction according to … Continued