decisionhealth Newsletters, Part B News - 2009 Issue 5 (May)
RAC official: Gradual rollout will come with extensive outreach
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Article Overview
This article explains how the permanent Recovery Audit Contractor (RAC) program is expected to launch with a gradual, outreach-based approach. It focuses on how RACs are preparing audit targets, the role of CMS oversight, and why providers in affected regions should pay attention to prior audit reports and transition-related timing issues. The piece is relevant to billing, compliance, and audit preparedness audiences in Medicare-participating practices and facilities.
Why This Topic Matters
The article helps providers and billing professionals understand the early operational approach to the RAC program and the kinds of compliance preparation that may be relevant before audits begin. It also highlights the importance of outreach, regional coordination, and review of prior audit findings as part of audit readiness.
Article Sections
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Rollout approach and outreach planning
Introduces the planned launch of the permanent RAC program and describes the emphasis on education and regional outreach before audits begin.
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Audit target selection process
Explains the general approach used to identify audit topics and how CMS review fits into the approval process.
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Provider preparation and transition timing
Discusses practical considerations for providers, including preparation activities and timing related to Medicare contractor transitions.
What You Will Learn
- How the permanent RAC program rollout is being approached
- What broad factors influence RAC audit target selection
- Why outreach is being coordinated before audits begin
- How providers can think about audit readiness in relation to prior reports and reviews
- What timing issues may affect audits during Medicare contractor transitions
Who Should Read This
- Medical coders
- Billing staff
- Compliance officers
- Practice managers
- Healthcare administrators
- Medicare participating providers
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