Get ready: the Centers for Medicare and Medicaid Services (CMS or Medicare) Recovery Audit Contractor (RAC) program has been made permanent and is expanding nationwide. All Medicare providers and suppliers should begin to prepare now for increased Medicare scrutiny. Hospitals and health systems nationwide can expect RAC auditing activity and overpayment requests beginning in 2009, and providers in nineteen states can expect this activity to begin as soon as February 2009. This Member Briefing will provide a history and overview of the RAC program and will provide guidance to legal counsel representing hospitals and health systems that soon may find themselves subject to RAC audits.
We have extensive experience with RAC audits and appeals, working directly with healthcare entities subject to RAC audits.