As the Medicare Recovery Audit Contracting program begins in earnest, it has healthcare providers anxiously wondering:
- Will financial incentives for contractors result in overzealous audits?
- What will auditors be looking for?
- How much could providers be required to repay?
- What can organizations do to prove the claims they filed were fair and accurate?
Developed by the Centers for Medicare and Medicaid Services as a way to ensure proper payments for Medicare services, the RAC initiative utilizes contractors to audit provider claims for validity.
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