tci Part B Insider - 2009 Issue 16

RAC AUDITS: Take These 6 Steps to Prepare for the RAC Audit Onslaught

Hint: Take requests for your records seriously and ensure that your documentation is thorough 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...

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