RAC
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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.
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For more information on this meeting, contact Tish Hollingsworth or Dee Lewis at (785) 233-7436.
The Recovery Audit Contractors have made short-stay inpatient admissions a major issue by challenging significant numbers of cases. Hospitals have, in turn, appealed many of these cases which have caused a significant backlog of cases at the appeals level.
For more information regarding this event, contact Michele Clark at mclark@khconline.org or (785) 235-0763.
The Kansas Hospital Association in cooperation with the Wisconsin Hospital Association is a hosting a four-part webinar series to help hospitals prepare. Hospital coders, coding supervisors and managers, and internal ICD-10 team leaders and members are encouraged to participate in this series as a team.
Join the Kansas Healthcare Communicators Society on Oct. 29, 2014 for their fall education conference. Download the brochure today for more information. Contact Jan Fenwick at (785) 233-7436 or jfenwick@kha-net.org for more info.