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 association 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.
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Highlights |
AHA News
- RAC News Archive
- Jan 16, 2013 | Hospitals reminded to complete RACTrac survey by Friday
- Jan 10, 2013 | Hospitals given extra week to complete AHA RACTrac survey
- Jan 02, 2013 | Hospitals urged to participate in AHA RACTrac survey
- Dec 13, 2012 | AHA, hospitals seek expedited proceedings in challenge of CMS RAC policy
- Dec 05, 2012 | AHA survey shows continued increase in RAC activity
- Nov 19, 2012 | AHA webinar to review latest RAC survey data
- Oct 25, 2012 | AHA urges HHS Inspector General to examine inaccuracy of RACs
- Oct 16, 2012 | AHA-supported bill would make changes to RACs, other audit programs
- Oct 12, 2012 | Hospitals given extra week to complete AHA RACTrac survey
Recent Efforts
- Oct 24, 2012 | AHA supports OIG review of effectiveness of Medicare contractors, including RACs, in 2013 Work Plan
- Oct 16, 2012 | AHA to Rep. Graves Supporting the Medicare Audit Improvement Act of 2012
- Oct 16, 2012 | AHA-Supported Bill Introduced to Make Needed Changes To RACs, Other Audit Programs
- Oct 16, 2012 | AHA to Rep. Schiff Supporting the Medicare Audit Improvement Act of 2012
- Jun 14, 2012 | The Medicare Appeals Process
- Jun 14, 2012 | Medicare Recovery Audit Contractors (RACs): Permanent Program Basics
- May 14, 2012 | AHA Audit Education Series: Reducing Vulnerabilities to Payment Denials
- Apr 05, 2012 | Model Comment Letter: Proposed rule implementing overpayment provision (DOCX)
- Feb 15, 2012 | RACTrac Survey: Exploring the Impact of the RAC Program on Hospitals Nationwide
- Dec 12, 2011 | Part A to Part B Rebilling Demonstration Project
Related RAC Resources