Medicare Administrative Contractors Announce Resumption of Payment Reviews Beginning in August 2020

Beginning August 2020, Medicare Administrative Contractors (MACs) resumed post-payment reviews of items and services with dates of service before March 2020. MACs may now begin conducting post-payment medical reviews for later dates of service.

The CMS Targeted Probe and Educate program (intensive education to assess provider compliance through up to three rounds of review) will restart later. The MACs will continue to offer detailed review decisions and education as appropriate.

Please contact your local MAC for more information on their payment reviews in your Medicare area.