the RAC program are you ready?

Machisko, Francine; Snecinkski, Jane
January 2008
hfm (Healthcare Financial Management);Jan2008, Vol. 62 Issue 1, p96
Trade Publication
The article offers information about the recovery audit contractors (RAC) program in the U.S. According to the author, the national implementation of the RAC program can save Medicare as much as $10 billion over five years. He added that the program is also intended to provide information to Medicare claims processing contractors to assist in preventing improper payments. Moreover, to prepare for a RAC review, providers should educate physicians and all direct staff on the basic infrastructure for the provisions of care, create compliance assessment tools and programs and conduct internal assessment and develop and implement a corrective plan.


Related Articles

  • Groups Propose Part D Message Tweaks.  // Health Data Management;Jun2006, Vol. 14 Issue 6, p20 

    The article offers information on the use of standard codes in electronic messages to notify pharmacists of rejected claims as agreed by Medicare Part D drug benefit companies and pharmacies. The standard processes for notification of denied claims was developed by America's Health Insurance...

  • Medicare report fuels drive for fast payment. Frederick, Jim // Drug Store News;9/24/2007, Vol. 29 Issue 12, p47 

    The article reports on the findings of a study conducted by the University of Texas which shows the delay of the Medicare Part D prescription payments by pharmacists in the U.S. Kristin Richards, research associate, noted that majority of the pharmacy claims take more than 30 days to be paid...

  • CCI 17.0: Don't Overlook Deletions, Switched Pairs in 2011.  // Podiatry Coding & Billing Alert;Jan2011, Vol. 3 Issue 1, p1 

    The article announces the release of the Correct Coding Initiative (CCI 17.0) which takes effect on January 1, 2011 in the U.S. It notes that the release includes 19,790 additions to which 227 are mutually exclusive and 19, 563 are nonmutually exclusive as CCI 17.0 clears up 9,732 deletions to...

  • CMS Should Watch Medicaid Accounting, GAO Says.  // HomeCare Magazine;Apr2004, Vol. 27 Issue 4, p14 

    Highlights a report in which the monitoring of upper payment limits is sought by the United States government's General Accounting Office. Responsibility for the same to the Centers of Medicare and Medicaid Services (CMS); Report in discussion titled "Medicaid: Improved Federal Oversight of...

  • How I got Medicare to apologize. Fuesler, Donald A. // Medical Economics;2/12/96, Vol. 73 Issue 3, p212 

    The article presents the author's account to refund an overpayment made by Medicare. In October 1994, he received Correspondence from Aetna Life Insurance Co., the local Medicare carrier. The letter informed him that he had been overpaid $111.45 by Medicare and that he must repay the money...

  • Work Around Consult Codes When Medicare Is Secondary Payer.  // Dermatology Coding Alert;Apr2010, Vol. 6 Issue 4, pp27 

    The article presents an expert advice to manage consultation coding dilemma for Medicare Secondary Payer (MSP) claims for dermatology practice in the U.S. It includes knowing the extent of the medical problem, learning two options for MSP conditions, and allowing calculation methods boost option...

  • Firms save big by reducing medical claims errors. Carlson, Leah // Employee Benefit News Canada;Mar/Apr2005, Vol. 2 Issue 2, p8 

    Deals with common medical claims processing mistakes. Purpose of the audits; Tips for avoiding medical claims processing mistakes; Suggestion of Curt Speed of Hewitt Associates on how employers could avoid processing mistakes.

  • Disgruntled with Part D? Here's how to appeal.  // Drug Topics;4/2/2007, Vol. 151 Issue 7, p6 

    The article offers information on how to appeal for the health insurance plan of Medicare Part D patients. Patients who experienced problem with plans that do not pay for the drug that they need may have a detailed procedure on how to appeal the decision through the March 23 "Federal Register"...

  • Medicare Makes Changes.  // O&P Business News;6/15/2005, Vol. 14 Issue 12, p51 

    The article reports on changes to Medicare claims processing and reimbursement policy announced by the U.S. Centers for Medicare & Medicaid Services (CMS) in the U.S. Under Change Request (CR) 3455, a twelve percent interest will be implemented for overpayments and underpayments. Group code for...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics