The Jurisdiction C recovery audit contractor (RAC) Connolly Healthcare has been instructed by CMS to slow down a semi-automated review for CPAP and BiPAP sleep tests. The RAC began auditing suppliers for Medicare-covered sleep tests in September 2011, targeting claims for patients who received their initial PAP devices prior to enrollment in the Medicare program.
It’s important to note that while no new request letters are actively going out, the audit has NOT been rescinded. Suppliers must still respond to any letters they already have in their possession and provide the RAC with a copy of the patient’s qualifying sleep test.
Suppliers struggling with a large volume of requests for this audit may contact Connolly Customer Service at (866) 360-2507, option 4 to request an extension beyond the requested response time frame.
“When submitting your response, we recommend including a cover sheet that lists all service dates targeted in the audit for that patient,” states an article from Medicare consulting company, MiraVista LLC. “For this particular audit, CMS has instructed Connolly to accept a blanket, aggregated response at the patient level (in lieu of responding to each individual service date).”