Tag Archives: medicare overpayments

HEALTH REFORM: RAC Roundup: What’s on the Horizon for Medicare Part C and D RACs? Medicaid RAC Implementation Is Underway

From its inception as a three-state pilot, the Recovery Audit Contractor (“RAC“) program has grown to a permanent national program accounting for the collection of $398 million in Medicare overpayments in the first quarter of fiscal year (“FY“) 2012 alone.[1] Over the next year, the RAC program will expand its reach beyond the current focus on fee-for-service (“FFS“) payments under Medicare Parts A and B to include Medicare Part C (Medicare Advantage) and Part D (Prescription Drug Benefit) as well as state Medicaid programs. As Medicaid RAC programs get underway in the states, and private insurers offering coverage under Medicare Part C and D prepare for new, yet still undefined, RAC efforts, it is more important than ever for providers to make sure that their processes for documentation, billing, and coding are accurate and comprehensive. 

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