tci Medicare Compliance & Reimbursement - 2009 Issue 10

RAC AUDITS :Follow These 6 Steps to Prepare for RAC Audits

Take requests for documents seriously and verify that your documentation is solid at all times. RAC medical review bounty hunters are rolling out in 24 states now and will start activities in the remaining states in August. In their three-year pilot, RACs racked up a whopping $1 billion in corrected overpayments. If your organization shows up on a RAC hit list, you can expect a big claims review hassle. RACs work on a contingency fee basis, meaning they receive a portion of the amount -- from 9 to 12.5 percent depending on the contractor -- that they deny...

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