PROVIDER INFORMATION
FAQs
Issues Under Review
Forms and Sample Documents
Additional Documentation Submission Requirements
Provider Contact Information
Claim Status
RELATED SITES
CMS RAC Website
CMS Manuals
CMS Additional Documentation Request Limits
American Hospital Association
NHIC
National Government Services
Highmark
WPS
FAQs
Issues Under Review
Forms and Sample Documents
Additional Documentation Submission Requirements
Provider Contact Information
Claim Status
RELATED SITES
CMS RAC Website
CMS Manuals
CMS Additional Documentation Request Limits
American Hospital Association
NHIC
National Government Services
Highmark
WPS
This page contains samples of many of the documents that a provider might need or expect to receive from the RAC. Please click on any of the below links to see the sample document.
Sample Automated Demand Letter
Sample Additional Documentation Request(ADR) Letter
Discussion Period Request Form
J14 and Home Health & Hospice Discussion Period Request Form