American Academy of Family Physicians
About UsNews & PublicationsMembersCME CenterClinical & ResearchPractice MgmtPolicy & AdvocacyCareers

How can I identify a RAC recovery versus a request for refund from other sources?

The demand letters issued by the RAC should be addressed from the RAC and will instruct physicians or other providers to forward their refund checks to the appropriate address at the applicable Medicare administrative contractor (MAC) for their claims administration. All refund checks shall be payable to the Medicare program.
Sample demand letters have been developed by three of the four RACs as of 08/07/09. Each practice in these three regions should download a copy of the sample demand letter for the RAC in its state and use this to help staff identify the difference between the RAC demand letter and other record requests that the practice receives.
  • Jurisdiction A, DCS sample letter (See link to demand letter in left navigation); States include Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont
  • Jurisdiction B, CGI sample letter (5-page PDF file; About PDFs); States include Indiana, Michigan, Minnesota, Illinois, Kentucky, Ohio and Wisconsin
  • Jurisdiction C, Connolly Consulting sample letter (4-page PDF file; About PDFs); States include Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, North Carolina, New Mexico, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia and the territories of Puerto Rico and U.S. Virgin Islands.
  • Jurisdiction D, HealthDataInsights (no sample letter posted as of 08/18/09); States include Alaska, Arizona, California, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming.
Shop Catalog