Corporate Compliance

Get ready for RAC audits: Six tips to help you prepare

Health Care Auditing Strategies, May 1, 2008

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CMS recently ended the demonstration phase of its recovery audit contractor (RAC) program and began permanent, nationwide implementation. RACs, or independent contractors hired by CMS to ensure proper Medicare payments, are paid contingent upon finding over- and underpayments.

If your facility is not in one of the pilot states—New York, Florida, California, South Carolina, and Massachusetts—don’t relax yet. It only means you have some preparation time. And that time could make a significant difference to your RAC results, says Lynn Grieves, chief compliance officer at Memorial Care Medical Center in Huntington Beach, CA.

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