tci Medicare Compliance & Reimbursement - 2017 Issue 10

Compliance: The RACs Slide Into Summer with a Hefty Junket of Audit Issues

The pressure is on, so prepare accordingly for possible reviews. No practice wants to hear that there’s a RAC attack coming its way. But unfortunately these auditors have announced dozens of review issues within the past two months, indicating that they are stepping up their audits of many services common to Medicare providers. Background: Recovery audit contractors (RACs) review Medicare claims for errors and collect a contingency fee based on the amount they recover. Much like MACs, there are different RAC contractors for the various regions in the country, and each one publishes the open issues that it...

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