He felt he was being targeted, for unknown reasons, by the federal government's Recovery Audit Contractors, or RACs for short. These RACs go into physicians’ offices searching for billing errors ...

All About RACs: What is a RAC? Will the RACs affect me? Why RACs? What does a RAC do? What are the providers’ options? What can providers do to get ready? What are Providers’ Options ...

This level of review uses system edits to check claims for evidence of improper coding or other mistakes. Based on these reviews, RACs send the provider a letter demanding repayment. For claims that ...

Recovery auditors (RACs), which had been primarily focused on the billing activities of hospitals, will expand their scrutiny to examine physician practices, reported American Medical News.

If you are under the impression that recovery audit contractors can only audit claims that are on CMS’ approved list, think again, says Paul Spencer, a compliance officer for Fi-Med Management ...

Another major problem with the program, the executives said, is a rule that prevents hospitals from rebilling previously denied inpatient claims more than a year old for outpatient payment ...