MAC Desk Review Checklist

Preparing for a MAC (Medicare Administrative Contractor) desk review is essential to ensure accurate cost reporting and compliance. Here are some steps to help you get ready:

1. Understand the Purpose:

   • Familiarize yourself with the purpose of the desk review. It’s an evaluation of your cost report data before final settlement.

   • The goal is to identify any discrepancies or issues early on.

2. Review Your Cost Report:
   • Thoroughly review your submitted cost report. Ensure all data is accurate, complete, and well-documented.
   • Pay attention to details such as cost allocation, indirect costs, and bad debt reporting.
3. Documentation
   • Gather all supporting documentation related to your cost report. This includes financial records, patient data, and billing information
   • Organize these documents for easy reference during the review.
4. Stay Updated
   • Keep track of CMS guidelines and any recent changes. Ensure your cost report aligns with the latest requirements.
   • Subscribe to CMS newsletters and attend webinars.
5. Consult Experts:
   • Seek advice from experts in cost reporting and compliance. They can provide insights and help you navigate complex regulations.
   • Consider hiring consultants.
6. Communication with MAC:
   • Be prepared to communicate with the MAC during the review process.
   • Respond promptly to any requests for additional information or clarifications.
7. Stay Calm and Transparent:
   • Desk reviews are routine. Approach them with transparency and a willingness to cooperate.
   • Be prepared to discuss your cost report openly and honestly.

Remember, a well-prepared cost report and proactive communication with the MAC will help ensure a smooth desk review process.