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RECOVERY AUDIT CONTRACTOR (RAC)
We have extensive experience with RAC audits and appeals, working directly with healthcare entities subject to RAC audits.
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We have represented Independent Diagnostic Testing Facilities (“IDTFs”), mobile leasing entities, radiology group practices, and other imaging providers.
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CMS’ RAC Recoveries Accelerate

The Centers for Medicare and Medicaid Services (“CMS”) overpayment recovery through its Recovery Audit Contractor (“RAC”) program is on the rise. CMS recovered in excess of $313 million in Medicare overpayments since October 2009, and almost half of that amount ($162 million) was collected during the first three months of 2011. In comparison, only $75.8 million was collected from October to December 2010, and $75.4 million was recovered from October 2009 to September 2010. The majority of overpayments alleged during FY 2010 through March 2011 involved incorrect coding. The CMS report may be viewed here.

For assistance appealing a claim denial or for more information, please contact Abby Pendleton, Esq. or Jessica L. Gustafson, Esq. at (248) 996-8510 or visit the HLP website.

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