Health Information Management

PPV: RAC program set to go national by 2010

HIM-HIPAA Insider, May 15, 2007

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CMS has announced that the recovery audit contractor (RAC) program will expand nationwide in two phases. This spring, CMS will add one or two states to each of the current RACs' jurisdictions. The agency will also begin the process of selecting four RACs to bring the program nationwide by 2010. Experts agree that now is the time to prepare for the coming changes.

CMS is still determining which states it will immediately add to the current jurisdictions, says Thomas A. Hase, spokesperson for the agency. "If at all possible, CMS is trying to avoid states that will be involved in an FY 2007 MAC transition." Therefore, hospitals located in states that are not involved in a fiscal year (FY) 2007 Medicare administrative contractor (MAC) transition should make sure to jump-start their RAC efforts.

Nancy Hirschl, president of Hirschl and Associates in Laguna Niguel, CA, says that hospitals in non-RAC states should take several steps to get ready for the RAC program.

To read more about the RAC program, visit Subscribers to Briefings on Coding Compliance Strategies can access this article in the May 2007 issue.

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