Revenue Cycle

Recovery auditor hot topics: Medicaid RACs

Recovery Auditor Report, March 22, 2012

The following article is part two in a series covering various topics in the world of recovery auditors. Part two will focus on Medicaid RACs. Part one can be found here.

Since Medicaid RACs officially launched on the first day of 2012, there hasn’t been much news surrounding the program. That said, the actual “rollout” of audits and documentation requests are still to come, so providers should start familiarizing themselves with Medicaid’s version of the Recovery Auditor Program.

State-by-state differences

While many of the administrative and organizational efficiencies that providers currently use to protect against other government auditors will help; there are a number of marked differences between the two programs, first and foremost of that each state will be set up differently. This is going to be interesting to say the least, so providers will need to pay particular attention to any guidance released on this program, says Elizabeth Lamkin, CEO, Pace Healthcare Consulting, LLC, in Hilton Head, SC.

Continue reading.

Most Popular