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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.