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.
KDHE, in partnership with the KHA and KHERF, is offering a training opportunity for new and experienced CAH leadership focusing on preparation for CAH surveys on Dec. 2 in Wichita. Please contact the Chrisy Madden at (785) 233-7436 or cmadden@kha-net.org if you have any questions.
For more information regarding the KHSC Board Meeting, contact Steve Poage at (785) 233-7436 or spoage@kha-net.org.
For more information regarding this event, contact the KHA Education Department at (785) 233-7436: Jennifer Findley (jfindley@kha-net.org) Hayley Finch (hfinch@kha-net.org) Chrisy Madden (cmadden@kha-net.org.
For more information on this event, contact Dee Lewis at (785) 233-7436 or dlewis@kha-net.org.
For more information, contact Melissa Hungerford (mhungerford@kha-net.org) or Susan Cunningham (scunningham@kha-net.org) at (785) 233-7436.