Is there a limit to the number of records that the RAC may request from a physician or group practice?
Yes. Medicare has published a document outlining the RAC Medical Record Request Limitations. For physicians, based on the NPI submitted on your claims, the limitations are:
- Solo Practitioner - 10 medical records/45 days
- Partnership of two to five individuals - 20 medical records/45 days
- Group of six to 15 individuals - 30 medical records/45 days
- Large Group (16+ individuals) - 50 medical records/45 days
