tci Medicare Compliance & Reimbursement - 2011 Issue 6

Medicaid: RAC 'Bounty Hunters' Turning Their Sights on Medicaid Claims

Fortunately, recent delays give you more time to plan for these audits. If you thought you had already gotten your fill of recovery audit contractors (RACs) via your Part B claims, get ready for a whole new wave of audits. Thanks to last year's Patient Protection and Affordable Care Act, it looks like RAC auditors will soon be reviewing Medicaid claims as well. In place for Medicare contractors since 2005, RACs are often referred to as medical "bounty hunters" because they only make money if they collect overpayments from you. Their income is specifically tied to the amount they...

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