Advanced Search

Home Health & Hospice Week

Know Your Facts:

Recovery Audit Contractors: Know These RAC Fast Facts

Published on Fri Apr 02, 2010

RACs are just another tool in the government's arsenal to collect improper payments. You've got so many compliance acronyms flying at you every day that you may not be able to differentiate your RAC from the OIG. Know these quick facts about RACs to stay better informed. • Recovery audit contractors (RACs) detect and correct past improper payments so the Centers for Medicare & Medicaid Services and other Medicare contractors can prevent such problems in the future. • RACs are hired as contractors by the government, and they can collect "contingency fees,"which means that they get a percentage of the amount that they recover from providers who were paid inappropriately. The maximum RAC lookback period is three years, and they cannot review claims paid prior to Oct. 1, 2007. • Between 2005 and 2008, RACs involved in the original demonstration project recovered more than $1.03 billion in Medicare improper payments, [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All