The Medicare Recovery Audit Contractor Program

Medicare fraud is big business, but while only a few profit from intentional malfeasance, the Centers for Medicare & Medicaid Services is now taking a closer look at everyone. This title explains all that is required to prepare and successfully defend against inappropriate RAC audit recoveries.

Contenu

Acronym Listing. Introduction. Purpose, Structure, and Intent of the RAC Audit Program. RAC, OIG, and Medicare Audits. Brief Review of Healthcare Payment and Payment Systems. RAC Audit Issues. RAC Processes. Understanding the RAC Appeals Process. Meeting the RAC Audit Challenge.