Reining in RAC

October 2008
Trustee;Oct2008, Vol. 61 Issue 9, p16
Trade Publication
This article examines the use of independent recovery audit contractors (RACs) to handle insurance claims in the U.S. It reflects on the results of an RAC program introduced by the U.S. Centers for Medicare & Medicaid Services (CMS) in 2005. It also indicates some of the challenges faced by RACs in their work, including the rate of denials for joint replacements. In addition, the author discusses the impact of a RAC program on hospitals.


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