CMS: Nationwide RAC program improves on demo

Article Overview

This article explains CMS’s planned expansion of the Recovery Audit Contractor (RAC) program, including timing, contractor transition periods, claim review exclusions, and related administrative safeguards. It is aimed at providers, coders, billing staff, and compliance teams who need to understand how the nationwide RAC program differs from the earlier demonstration experience and what types of claims are protected from repeated review. The discussion stays at a high level while touching on Medicare administration, claim audit procedures, and the use of advance beneficiary notices.