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Implementation of Medicare Administrative Contractor (MAC) Appeals Upload Process Changes for the Recovery Audit Contractor (RAC) Data Warehouse (RACDW) and Addition of Disposition Category "U" to RACDW Appeals Layout File

This Change Request (CR) is to implement the solutions discussed during analysis calls, which will require the Part A Medicare Administrative Contracotrs (MACs) to pull and upload claim appeals data for the Qualified Independent Contractor (QIC) and Office of Medicare Hearings and Appeals/Administrative Law Judge (OMHA/ALJ) decisions into the RACDW.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 02, 2021

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.