DecisionHealth, DecisionHealth - 2009 Issue 6 (June)

RACs limited in ability to use automated review to find overpayments, CMS reveals

Good news: There are only three situations a Recovery Audit Contractor (RAC) can use an automated review to determine a claim was an overpayment - and demand you pay up. Even better, knowing what the three scenarios are, you can predict how likely it is that you'll be seeing RAC letters in your mailbox.

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