decisionhealth Newsletters, Part B News - 2009 Issue 2 (February)
New RACs rollout in 23 states March 1, all states by 2010
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Article Overview
This article explains the planned expansion of Recovery Audit Contractors (RACs) under CMS, focusing on where and when the program is being introduced and which contractors are assigned to each jurisdiction. It also summarizes general record-request limits tied to practice size, making it relevant to healthcare administrators, compliance staff, and revenue cycle professionals monitoring audit activity and federal program changes.
Why This Topic Matters
RAC activity can affect documentation requests, compliance workload, and audit preparedness for physician practices and other providers. Knowing the rollout schedule and the overall structure of the program helps organizations anticipate when audit exposure may increase.
Article Sections
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RAC rollout timeline and jurisdiction assignments
Covers the planned implementation of Recovery Audit Contractors across multiple regions and states, along with the contractor organizations assigned to each jurisdiction. The section also notes the staged expansion schedule communicated by CMS.
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Practice-size record request limits
Summarizes the general record request limits tied to different practice sizes over a 45-day period. The section is presented as operational guidance related to audit response volume.
What You Will Learn
- How the RAC rollout is being phased by state and region
- Which contractor organizations are associated with the listed jurisdictions
- How practice size relates to the number of records that may be requested over a 45-day period
- What general implementation timing CMS described for the remaining states
Who Should Read This
- Physician practice administrators
- Compliance officers
- Revenue cycle managers
- Medical coders
- Billing staff
- Healthcare audit and appeals personnel
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