Audit and Reimbursement

Published 03/02/2026

Medicare Audit and Reimbursement is divided into three distinct areas: reimbursement, audit and cost reports. The primary functions of the Medicare Audit and Reimbursement Unit is:

  • Assure final payments to providers are in accordance with Medicare laws, regulations, and instructions
  • Verify financial and statistical information contained in the Medicare cost report
  • Arrive at a correct program reimbursement. In so doing, preserve the provider's interests and rights but at the same time apply program policies to specific situations to ensure compliance with these policies.

Audit and Reimbursement Contact Information

MCReF Website
Providers can access this portal and receive important information, including NPR settlement packages, rate review letters, tentative and lump sum payment notifications, etc. 

Effective May 13, 2025, Medicare Part A providers have the ability to download PS&R summary reports needed to prepare their Medicare cost report directly in MCReF for eligible providers and specific fiscal year ends. The PS&R summary reports are available via a one-click download in MCReF and are equivalent to the reports that can be generated in the PS&R system and are suitable for cost report preparation purposes.

We encourage providers to sign up for an MCReF account and review the information provided before submitting any questions to the MAC.


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