If a provider disagrees with a demand letter during a RAC audit, what can they submit?

When a provider disagrees with a demand letter during a Recovery Audit Contractor (RAC) audit, they have the option to submit a rebuttal to the Medicare Administrative Contractor (MAC) within a specified timeframe. This rebuttal serves as a formal response to challenge the findings or conclusions presented in the demand letter. The timeframe is critical; providers must submit this rebuttal within 120 days to ensure their disagreement is considered timely and valid.

This action establishes a formal dispute process, allowing the provider to present evidence or arguments that support their position regarding the audit findings. It adds clarity to the disagreement and sets the stage for further review and potential resolution. Submitting a rebuttal is aligned with proper protocols for contesting audit outcomes, enabling providers to advocate for their claim on the basis of the provided documentation and rationale.

Other options, while potentially related to audit processes, do not serve the same purpose or follow the appropriate channels for addressing disagreements with RAC audit letters. Therefore, the rebuttal submission to the MAC is the correct and most strategic choice for a provider looking to contest a demand letter outcome.