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Medicare Compliance & Reimbursement

Medicaid Regulations:

4 Strategies To Stop RACs From Catching You By Surprise

Published on Tue Jul 05, 2011

Now's the time to improve your billing and documentation. If recovery audit contractor (RAC) audits don't stay on your radar, you'll likely soon be nursing some pretty hefty overpayments stemming from your Medicaid billing. That's thanks to last year's Patient Protection and Affordable Care Act's requirement that RACs audit Medicaid claims just like they do Medicare claims. Because RACs' income is specifically tied to the amount they recover, and is based on a percentage of the overpayments they identify, you can expect they'll be looking through your claims with a fine-toothed comb. Prepare now: Despite assumptions to the contrary, you can prepare for RACs to examine your claims -- even though you can't go back and make changes. And you have some time. CMS delayed the April 1 deadline for Medicaid RACs, notes attorney Mark W. Bina with Krieg DeVault in Chicago. The new start date will be published in a [...]
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