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RAC audits

Providers prep for return of RAC

New contract, however, means several improvements to process
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11/18/2016

LIVERMORE, Calif. – Providers should strap in: After a protracted lull, RAC audits will likely pick back up in January, now that CMS has tapped Performant Recovery, based here, to perform post-payment reviews for DME and home health/hospice claims nationwide.

Lawmakers voice concerns on audits

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05/23/2014

WASHINGTON – Industry stakeholders say a Congressional hearing last week on audits is likely the first of many such hearings on the issue.

Audits: ‘Guilty until proven innocent’

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05/21/2014

WASHINGTON – A subcommittee hearing on audits yesterday shows that lawmakers are getting the message.

RACs mistakenly rescind some audits

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08/02/2013

BALTIMORE – Talk about a clawback. Some recent letters rescinding certain audits were sent in error, say stakeholders.

RAC power wheelchair probes draw ire

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12/28/2012

ATLANTA – A recent surge of audits in Jurisdiction C are targeting “low-lying fruit,” older claims that are more likely to have problems, say consultants.

Medicaid RAC programs heat up

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07/20/2012

YARMOUTH, Maine – More and more state Medicaid programs across the country are getting Recovery Audit Contractor (RAC) programs up and running.