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.
For more information regarding this program, contact Lorri Dean (ldean@kha-net.org) or Deborah Stern (dstern@kha-net.org) at (785) 233-7436.
For more information regarding the KHC Summit on Quality, contact Deborah Stern at (785) 233-7436 or dstern@kha-net.org.
For more information, contact Tish Hollingsworth at (785) 233-7436 or thollingsworth@kha-net.org.
The Kansas Healthcare Collaborative, the Kansas Hospital Association and the Kansas Medical Society invite physicians, practitioners (ARNP, PA, pharmacists) and hospitalhealth system providers to attend a one-hour webinar to learn about an exciting new opportunity to transform clinical practices.
Join us for a trustee webinar that will help your board learn how to have concise, affirming conversations with community members about how the hospital is doing.