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Recovery Audit Contractor

Recovery Audit Contractor

RAC Demonstration

Background:  In section 306 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Congress directed the Department of Health and Human Services (DHHS) to conduct a 3-year demonstration program using Recovery Audit Contractors (RACs) to detect and correct improper payments in the Medicare FFS program. The Recovery Audit Contractor (RAC) demonstration program was designed to determine whether the use of RACs will be a cost-effective means of adding resources to ensure correct payments are being made to providers and suppliers and, therefore, protect the Medicare Trust Fund. The demonstration operated in New York, Massachusetts, Florida, South Carolina and California and ended on March 27, 2008. See link to the left to find out about the permanent program.

In February CMS released the 2007 RAC Status Document. This report focuses on the operations and findings of the CMS claim RAC program during fiscal year (FY) 2007 (October 1, 2006 - September 30, 2007). Click on the link below for the full report. 

For Concerns about the RAC Demonstration Program: Contact the RAC Project Officer at RAC@cms.hhs.gov . 

 

 

Downloads

CMS RAC Status Document 2007 [PDF, 253.24KB]

CMS RAC Status Document 2006 [PDF, 482K]                                                                            

Revision History for CMS RAC Status Document 2006 [PDF, 24.0KB]

Revision History for CMS RAC Status Document 2007 [PDF, 23.5KB]

Related Links Inside CMS
2008 Press Release Announcing FY 07 RAC Status Document
2005 Press Release Announcing RACs
2005 RAC Medlearn Article 469 Announcing the RAC Project, RAC Legislation, and RAC States
2005 RAC Medlearn Article 565 Announcing the Names of the Demonstration RACs in CA, FL, and NY
Instructions to Carriers/DMERCs/FIs in RAC States
Frequently Asked Questions
Get Recovery Audit Contractor (RAC) e-mail updates

Related Links Outside CMSExternal Linking Policy
RAC Demonstration Statement of Work

 

Page Last Modified: 06/05/2008 9:01:11 AM
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