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Question: How does the Supplemental Medical Review Contractor (SMRC) determine which reviews to perform? Does SMRC work for CMS or our Medicare administrative contractor (MAC)?

If you see the term MRAC, don't worry that it is yet another type of auditor.

If you were thinking that CMS under the Trump administration might go easier on providers in an audit situation, think again.
Here’s something that could help cut down the volume of duplicate Medicare audits coming into your practice.
Did your practice participate in the Office of Medicare Hearings and Appeals’ settlement pilot project? If so, we’d love to hear the story of how your practice fared — regardless of whether it agreed to a settlement and got out of the massive backlog of appeals at the administrative law judge level.
Please contact editor Josh Poltilove at or (301) 287-2593.


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