Corporate Compliance

Note: Implementation of permanent and nationwide RAC Program

Medicare Insider, October 20, 2009

Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!

 

Editor’s note: Judith Kares, JD, CPC, regulatory specialist for HCPro, Inc., is the author of this week’s note from the instructor.

Now that CMS has implemented a permanent and nationwide Recovery Audit Contractor (RAC) Program, as authorized by the Tax Relief and Healthcare Act of 2006, hospitals need to keep themselves informed about the issues that have been approved for review in their region. Going forward, the four regional RACs will continue to review claims on a post-payment basis, using standard Medicare policies. They will be limited, however, to a three-year look-back period, with no review of claims paid prior to October 1, 2007.

Click over to the MedicareMentor Blog to read more.



Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!

Most Popular