Recovery Audit Contractor (RAC) Program

Hospitals are focused on caring for patients. However, hospitals are facing more audits of payment claims, including by recovery audit contractors (RACs), which subject hospitals to additional administrative burden and costly payment denials.

RACs have audited provider claims for the Medicare program nationwide since 2010. The AHA continues to work with government stakeholders to improve the RAC program and prevent abuses that preclude hospitals from receiving payment for necessary medical care. The AHA also provides education to members to help prevent payment denials and navigate the Medicare appeals process in the event of an adverse RAC payment determination.

RAC-related news, resources and educational materials can be found below.  To be kept up to date on the latest RAC news, AHA members can join AHA's RAC News Group.

Complete RACTrac survey by July 29

The AHA has extended to July 29 the deadline for all hospitals to submit data to the quarterly RACTrac survey. The free web-based survey helps AHA measure the impact of Medicare's Recovery Audit Contractor program on hospitals and advocate for needed changes. For more information on the RACTrac initiative, visit www.aha.org/RACTrac. To register for the survey or for technical assistance, contact RACTrac support at (888) 722-8712 or ractracsupport@providercs.com.

 Highlights

About AHA

Membership

Member Constituency Sections

Key Relationships

News Center

Performance Improvement

Advocacy Issues

Products & Services

Publications

Research & Trends

Locations

155 N. Wacker Dr.
Chicago, Illinois 60606
312.422.3000

800 10th Street, N.W.
Two CityCenter, Suite 400
Washington, DC 20001-4956
202.638.1100

1.800.424-4301