decisionhealth Newsletters, Part B News - 2009 Issue 10 (October)
RACs now have identified targets for 92% of the country
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Article Overview
This brief industry update explains how Recovery Audit Contractors have identified and expanded review targets across much of the country. It is relevant to providers, billing and coding staff, and DME suppliers who track audit activity, regional review focus, and changes in RAC coverage. The article also mentions the shift toward additional review capabilities later in the year and points readers to RAC resources for issue lists.
Why This Topic Matters
Organizations affected by RAC activity need to know where audit attention is concentrating so they can monitor claims exposure and internal compliance priorities. The update helps readers understand the current scope of RAC target issues and the timing of broader review authority.
What You Will Learn
- How RAC target issues are being rolled out across regions
- Which provider and supplier claim categories are being reviewed at a high level
- How regional RAC issue lists are changing over time
- What additional RAC review capability is expected later in the year
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Compliance teams
- Durable medical equipment suppliers
- Healthcare providers
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