“The expanded RAC program gives independent auditors the power to conduct ‘medical necessity’ audits at your hospital, health system, clinical laboratory, or pathology group,” Mr. Michel writes. “RAC auditors can analyze claims with payment dates going back to October 1, 2007.”
On Oct 1, CMS is sending letters to participating state Medicaid directors informing them of the impending expansion of the RAC program to include all of Medicare and Medicaid by December 31, 2010.
Read the Dark Daily report on RACs.
At Becker's 4th Annual CEO + CFO Roundtable, taking place November 2–5 in Chicago, more than 1,500 hospital and health system executives tackle decisions that determine whether organizations thrive or merely survive: protecting margins under cost pressure, choosing where to grow, renegotiating payer relationships, stabilizing the workforce and proving real ROI on technology. This is where leaders work through them together, face-to-face. Apply for complimentary registration now.
