RAC
Print

Recovery Audit Contractors (RAC)

The Medicare Recovery Audit Contractor program is authorized by Congress to identify improper Medicare payments - both overpayments and underpayments. RACs are paid on a contingency fee basis, receiving a percentage of the improper payments they identify and collect. Following a three-year demonstration project, the law requires the Centers for Medicare and Medicaid Services to expand the program nationwide by 2010. The national expansion of the RACs is being introduced by region, with Kansas being slated sometime after August 2009.
Section 6411 of the Patient Protection and Affordable Care Act (PPACA) expanded the Recovery Audit Contractor (RAC) program to include Medicaid.  The RAC Program’s mission is to reduce improper payments to the Medicaid and Children’s Health Insurance Program (CHIP) through the efficient detection and collection of overpayments, the identification of underpayments, and the identification of actions that will assist in preventing future improper payments. The RAC contractor for the State of Kansas is HealthDataInsights.
*
*
   
Join us for a webinar that will discuss all payer issues, increased staff interventions, informational technology issues, submission issues post go-live, testing challenges and internal changes including education ideas with the physician office staff. Join us for a meaningful discussion on revenue cycle action items and at-risk issues that need to be on your radar prior to implementation.
For more information regarding this event, contact Ronni Anderson at kanderson@khsc.org or (785) 233-7436.
For more information regarding the Midwest careLearning User Group Meeting, contact Jennifer Findley at (785) 233-7436 or jfindley@kha-net.org.
For more information regarding this event, contact Tish Hollingsworth at (785) 233-7436 or thollingsworth@kha-net.org.
For more information about this event, contact Tish Hollingsworth at (785) 233-7436 or thollingsworth@kha-net.org.