If a Recovery Audit Contractor (RAC) retracts due to a discussion or internal error, how is Palmetto GBA notified? What are the internal processes and timeframes?

Answer:
The RAC should send a retraction letter to the provider as well as a retraction file listing for the claims that need to be retracted to the Medicare Administrative Contractor (MAC). These two actions should occur at the same time. If an account receivable has been established on the affected claim(s), then the Finance Department will adjust down the demanded overpayment accordingly.

Although there is not an established timeframe to process retraction files, Palmetto GBA’s goal is to process a file within a reasonable timeframe. The retraction process is mostly manual so the total completion time varies dependent upon the size of the file received.

Contact Palmetto GBA JM Part HHH Medicare

Email HHH

Contact a specific JM HHH department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

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Jurisdiction M Home Health and Hospice MAC

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