tci Part B Insider - 2014 Issue 2

Check These 3 RAC FAQs

Although CMS’s Recovery Audit Contractor (RAC) program has been around for several years already, chances are high that you still have questions about how it works. We’ve culled the most commonly-asked RAC questions and provided CMS’s expert answers to them below. 1. No one audited my records, but the RAC still asked me to pay back an alleged overpayment. How is that possible? Answer: Even though a human didn’t audit your records, the RAC may have still performed an audit. “RACs may use automated review (where NO medical record is involved in the review)...

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