Recovery Audit Contractor Discussion Period

Important Provider Notice:

For medical record requests (ADRs) sent after 01/01/16, Performant Recovery has 30 days to complete the review and send a decision letter. Additionally, for all claims resulted after 01/01/16 (Automated and Complex reviews) adjustments will be sent after a 30 day waiting period from the date of the Review Results Letter. For all claims resulted after 01/01/16 the Discussion Period is now 30 days from the date of the result letter. This allows a 30 day time period to file a Discussion Period with the RAC prior to the Demand Letter being issued. All Discussions must be accompanied by supporting documentation. If a Discussion is filed the adjustment will not be sent until the Discussion has been completed. If the finding is overturned there will be no adjustment sent thus reducing the amount of takebacks and givebacks previously experienced.

Additional information and contact information for Performant Recovery can be located on their website: https://www.dcsrac.com/PROVIDERPORTAL.aspx