decisionhealth Newsletters, Part B News - 2008 Issue 10 (October)
Permanent RACs in holding pattern, waiting for CMS' cue
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Article Overview
This article covers the launch status of CMS’s permanent Recovery Audit Contractor program and the initial phase-1 state rollout. It explains which contractors were named, when providers in the first states were expected to begin hearing from them, and how the broader national implementation schedule was structured. The piece is relevant to Medicare providers, billing staff, compliance teams, and revenue-cycle leaders monitoring audit readiness, blackout periods, and program timing.
Why This Topic Matters
Providers need to know when audit activity may begin, which states are affected first, and how CMS’s schedule may influence compliance planning and internal review efforts. The article also flags legislative activity and timing considerations that could affect audit exposure.
Article Sections
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CMS rollout of the permanent RAC program
Overview of the program’s launch status, CMS communication, and the expected timing of early outreach to providers.
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Contractors named for phase 1
Identification of the contractors selected for the first phase and general background on their prior involvement with Medicare-related audit activity.
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Implementation schedule and state rollout
Summary of the phased state rollout, the national implementation timeline, and the states included in the initial group.
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Legislation and blackout period note
Discussion of related federal legislation and the timing limitation affecting certain state transitions to a Medicare Administrative Contractor.
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Provider preparation and internal audit guidance
General guidance on preparing for the permanent program through internal review and related compliance steps.
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Phase 1 states and contractor assignments
A state-by-state listing of the initial rollout group and the assigned contractor contacts included in the source material.
What You Will Learn
- How CMS structured the rollout of the permanent Recovery Audit Contractor program
- Which organizations were selected for the first phase of implementation
- What the article says about the timing of early provider outreach
- How the national rollout schedule was organized across states
- What general preparation steps providers were encouraged to consider
Who Should Read This
- Medicare providers
- Billing and coding staff
- Compliance professionals
- Revenue cycle managers
- Healthcare administrators
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