decisionhealth Newsletters, Part B News - 2009 Issue 4 (April)
RACs will pick their physician, practice targets individually
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Article Overview
This short news article covers the process Medicare Recovery Audit Contractors must follow before pursuing claims, including CMS review, public posting of new audit issues, and the expectation that each contractor will develop and seek approval for targets independently. It is relevant to physicians, practices, and billing professionals who track audit activity and compliance oversight.
Why This Topic Matters
Understanding how RAC targets are approved and announced helps practices monitor audit risk and stay alert to shifting compliance priorities.
What You Will Learn
- How Recovery Audit Contractors are expected to develop audit targets
- What role CMS plays in reviewing and approving RAC issues
- Why public posting of new audit topics matters for providers
- How the RAC process differs from a single national work plan
Who Should Read This
- Physicians
- Medical practice managers
- Medical coders
- Billing staff
- Compliance officers
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