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Problems, Glitches with

Manual Medical Review (MMR) 


Manual Medical Review with RACs began April 1, 2013.

​​If problems with the MMR process arise, contact AHCA through its new Manual Medical Review Clearing House at ManualReview@AHCA.org


Background Information:

AHCA to Channel Members Manual Medical Review Issues to CMS

RACs are reviewing therapy claims that exceed $3,700 in 11 states through the end of 2013 (CA, FL, IL, LA, MI, MO, NY, NC, OH, PA, TX). All other states (39) will have post-payment review. Go here for more details.

Called “manual medical review,” and required by Congress, AHCA has taken steps to continuously channel providers’ problems with the process to CMS through the AHCA Manual Review Clearinghouse at manualreview@ahca.org. If a provider is facing a problem that it cannot get resolved, we ask that the provider email the problem to the clearinghouse at  manualreview@ahca.org

On the positive side of the manual review process, CMS is requiring RACs to complete prepayment reviews within 10 days and we especially want to hold them to this timeframe. 


 

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