Health Information Management

RAC report casts spotlight on wrong patient settings

Briefings on APCs, May 1, 2008

Hospitals nationwide are taking notice of the Recovery Audit Contractor (RAC) program and the 2007 RAC status report, released February 28 by CMS. The report announced that CMS identified $371.5 million in improper Medicare payments collected from or repaid to healthcare providers and suppliers in California, Florida, and New York. Other states, including Massachusetts, South Carolina, and Arizona, are now subject to RAC audits, and the program will be rolled out nationally by January 1, 2010.

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